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Active NPI 1588423909 Individual Practitioner Male Practitioner

Dr. Jordan Diebolt , PharmD, RPH

Pharmacist • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Diebolt, PharmD, RPH is a registered healthcare professional specializing in Pharmacist in Waltham, MA. Practice services are available at 69 HICKORY DR STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

69 Hickory Dr Ste 1

Waltham, MA 024511011

Telephone 7813739199
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
78 Specialists

Practicing in Waltham, MA (6023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA PH235214

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Stephen Seigler , RPH

Pharmacist - Geriatric

NPI 1366875429

Registered Pharmacist

NPI 1750943874

Doctor of Pharmacy (Pharm.D.)

NPI 1790118925

Registered Pharmacist

NPI 1992570584

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2024

Registered at 69 HICKORY DR STE 1, WALTHAM, MA 024511011 (Tel: 7813739199)

📍
Updated Business Mailing Address March 18, 2024

Registered at 8 CIRRUS DR UNIT 109, ASHLAND, MA 017214457 (Tel: 8605080207)

👤
Provider Name / Credentials Updated March 18, 2024

Recorded as JORDAN DIEBOLT, PHARMD, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2024

Pharmacist (License #PH235214 in MA)

🟢
Initial NPI Registration & Enumeration March 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588423909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2024
Last Update: March 18, 2024
Sole Proprietor: No

Mailing Address

8 Cirrus Dr Unit 109

Ashland, MA 017214457

Phone: 8605080207

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.