Timothy Scott Ackerman, R.PH.
Individual provider Active NPI Pharmacist · Lititz, PA
NPI 1083077929 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1083077929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP-035839-L (PA)
- Practice address
- 74 E Main St
Lititz, PA 17543-0900 - Phone
- (610) 553-6036
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-035839-L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-035839-L | PA | Yes |
| Pharmacist | 183500000X | 27704 | TN |
Addresses
Primary practice location
74 E Main St
Lititz, PA 17543-0900
Mailing address
74 E Main St
Lititz, PA 17543-0900
Phone (610) 553-6036
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drackerman@medicalassociatesofpennsylvania.com |
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.