Active NPIIndividual provider

Jonathan P Destasio, PHARMD

Pharmacist in Hammonton, New Jersey

NPI Number1922332139
Practice location
11 S White Horse Pike, Hammonton, NJ 08037-1872
Fax
609-704-1928
Last updated
September 22, 2009

Jonathan Peter Destasio is a Pharmacist based in Hammonton, NJ. Jonathan Peter Destasio practices in Hammonton, NJ and has the professional credentials of PHARMD. The NPI Number for Jonathan Peter Destasio is 1922332139 and holds a License No. 28RI03319200 (NJ). The current practice location address for Jonathan Peter Destasio is 11 S White Horse Pike, Hammonton, NJ 08037-1872 and can be reached out via phone at 609-567-0177 and via fax at 609-704-1928.

Provider Profile Details

NPI Number
1922332139
Provider Name
Jonathan Peter Destasio
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
11 S White Horse Pike, Hammonton, NJ 08037-1872
Phone Number
609-567-0177
Fax Number
609-704-1928
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2009
Last Update Date
September 22, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 S White Horse Pike
Hammonton, NJ 08037-1872
Zip
08037-1872
Phone Number
609-567-0177
Fax Number
609-704-1928
Hammonton, NJ 08037Get directions →

Provider Business Mailing Address Details

Address
106 West Ln
Hammonton, NJ 08037-1151
City
Hammonton
State
NJ
Zip
08037-1151
Phone Number
609-457-9082
Fax Number
609-567-3848

License Information

License Number
28RI03319200
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jonathan P Destasio, PHARMD?

The NPI number of Jonathan P Destasio, PHARMD is 1922332139. It was assigned on September 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Jonathan P Destasio, PHARMD?

Jonathan P Destasio, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03319200.

Where does Jonathan P Destasio, PHARMD practice?

The practice location is 11 S White Horse Pike, Hammonton, NJ 08037-1872. The office can be reached at 609-567-0177 (phone) or 609-704-1928 (fax).

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 1922332139 directly on the NPPES registry website.

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