Joseph Carlo Digiovanni Jr.
Individual provider Active NPI Pharmacist · Albany, LA
NPI 1922499441 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1922499441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 017928 (LA)
- Practice address
- 19067 Florida Blvd
Albany, LA 70711-3603 - Phone
- (225) 567-7772
- NPI assigned
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017928 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 017928 | LA | Yes |
Addresses
Primary practice location
19067 Florida Blvd
Albany, LA 70711-3603
Mailing address
1812 W Thomas St
Hammond, LA 70401-2945
Phone (225) 567-7772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203541 | Medicaid | LA |
Other providers in Albany, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.