Individual provider Active NPI

Gerard Diebner, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1891268637
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031602 Issued in NY
Practice address
736 E 152ND St
Bronx, NY 10455-2203
Phone
(718) 292-2088
NPI assigned
Jan 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031602 NY Primary

Addresses

Primary practice location

736 E 152ND St
Bronx, NY 10455-2203

Mailing address

221 E 78TH St Apt 4H
New York, NY 10075-1220
Phone (917) 495-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1891268637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 78TH ST APT 4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751220",
            "telephone_number": "917-495-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E 152ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552203",
            "telephone_number": "718-292-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBNER",
        "first_name": "GERARD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.