IndividualActive
Jordan Diebolt, PHARMD, RPH
NPI 1588423909 · Pharmacist · Waltham, MA
Jordan Diebolt, PHARMD, RPH is a Pharmacist provider in Waltham, MA (NPI 1588423909).
Provider details
- NPI number
- 1588423909
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD, RPH
- Sex
- Male
- Sole proprietor
- No
- License
- PH235214 (MA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
69 Hickory Dr Ste 1
Waltham, MA 02451-1011
Phone: (781) 373-9199
Street-level locationGet directions
Mailing address
8 Cirrus Dr Unit 109
Ashland, MA 01721-4457
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Frequently asked questions
- What is Jordan Diebolt's NPI number?
- Jordan Diebolt's National Provider Identifier (NPI) is 1588423909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Diebolt's specialty?
- Jordan Diebolt is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jordan Diebolt located?
- Jordan Diebolt's practice location on file with NPPES is 69 Hickory Dr Ste 1, Waltham, MA 02451-1011.
- What is Jordan Diebolt's phone number?
- The practice phone number listed in the NPPES registry for Jordan Diebolt is (781) 373-9199.
- Is Jordan Diebolt's NPI active?
- Yes — Jordan Diebolt's NPI (1588423909) is active in the NPPES registry as of the last update on 2024-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.