Active NPI
Gregori Peter Anelli
- Pharmacist
- East Stroudsburg, PA
National Provider Identifier
1912540790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP041251L
- Practice address
- 300 Lincoln Ave
East Stroudsburg, PA 18301-2815 - Phone
- (570) 459-5759
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP041251L | PA | Primary |
Addresses
Primary practice location
300 Lincoln Ave
East Stroudsburg, PA 18301-2815
Mailing address
70 S Locust St
Hazleton, PA 18201-6100
Phone (570) 459-5759
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP041251L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Giant Pharmacy #6081
- Community/Retail Pharmacy
- Hazleton, PA
- NPI 1194757104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1912540790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S LOCUST ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016100",
"telephone_number": "570-459-5759",
"fax_number": "570-459-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LINCOLN AVE",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183012815",
"telephone_number": "570-459-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANELLI",
"first_name": "GREGORI",
"middle_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041251L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.