Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Diebolt, PHARMD, RPH

Individual provider Pharmacist · NPI 1588423909

Jordan Diebolt, PHARMD, RPH is a Pharmacist in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

69 Hickory Dr Ste 1
Waltham, MA 02451-1011
Phone: (781) 373-9199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH235214 (MA)

Record details

NPI number1588423909
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , RPH
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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