Healthcare Provider Details

I. General information

NPI: 1538070917
Provider Name (Legal Business Name): JOSEPH CIAMPA RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 NEWBURY ST
PEABODY MA
01960-3806
US

IV. Provider business mailing address

104 NEWBURY ST
PEABODY MA
01960-3806
US

V. Phone/Fax

Practice location:
  • Phone: 978-535-3893
  • Fax: 978-826-5049
Mailing address:
  • Phone: 978-535-3893
  • Fax: 978-826-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH24402
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: