MEDICARE: DR. JENNIFER L. DIGIACINTO PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11114	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11114	OTHER	NE	NEBRASKA PHARMACY LICENSE

General Provider Information

NPI Number	:	1750556262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L. DIGIACINTO PHARM.D.

Provider Business Mailing Address
First Line	:	5246 LOUGHBORO RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2634
Country	:	US
Telephone Number	:	202-966-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	5246 LOUGHBORO RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2634
Country	:	US
Telephone Number	:	202-966-3344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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