Provider Demographics
NPI:1508460932
Name:ZAMBELLI, GREGORY GENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:GENE
Last Name:ZAMBELLI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NEWMAN AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1960
Mailing Address - Country:US
Mailing Address - Phone:908-229-1151
Mailing Address - Fax:
Practice Address - Street 1:1 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-1064
Practice Address - Country:US
Practice Address - Phone:401-351-4295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237852183500000X
RIRPH05779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist