Jordan Diebolt, PHARMD, RPH
Pharmacist in Waltham, Massachusetts
1588423909- Practice location
- 69 Hickory Dr Ste 1, Waltham, MA 02451-1011
- Phone
- 781-373-9199
- Fax
- —
- Last updated
- March 18, 2024
Jordan Diebolt is a Pharmacist based in Waltham, MA. Jordan Diebolt practices in Waltham, MA and has the professional credentials of PHARMD, RPH. The NPI Number for Jordan Diebolt is 1588423909 and holds a License No. PH235214 (MA). The current practice location address for Jordan Diebolt is 69 Hickory Dr Ste 1, Waltham, MA 02451-1011 and can be reached out via phone at 781-373-9199.
Provider Profile Details
- NPI Number
- 1588423909
- Provider Name
- Jordan Diebolt
- Credential
- PHARMD, RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Hickory Dr Ste 1, Waltham, MA 02451-1011
- Phone Number
- 781-373-9199
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 18, 2024
- Last Update Date
- March 18, 2024
- Certification Date
- March 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Hickory Dr Ste 1
Waltham, MA 02451-1011 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1011
- Phone Number
- 781-373-9199
Provider Business Mailing Address Details
- Address
- 8 Cirrus Dr Unit 109
Ashland, MA 01721-4457 - City
- Ashland
- State
- MA
- Zip
- 01721-4457
- Phone Number
- 860-508-0207
License Information
- License Number
- PH235214
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordan Diebolt, PHARMD, RPH?
The NPI number of Jordan Diebolt, PHARMD, RPH is 1588423909. It was assigned on March 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Jordan Diebolt, PHARMD, RPH?
Jordan Diebolt, PHARMD, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH235214.
Where does Jordan Diebolt, PHARMD, RPH practice?
The practice location is 69 Hickory Dr Ste 1, Waltham, MA 02451-1011. The office can be reached at 781-373-9199 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588423909 directly on the NPPES registry website.