Thomas Bruce Gruber, RPH
Individual provider Active NPI Pharmacist · Dillsburg, PA
NPI 1104832385 · NPPES record last updated Jan 30, 2008
Key facts
- NPI
- 1104832385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP025369L (PA)
- Practice address
- 18 South Baltimore St
Dillsburg, PA 17019-1227 - Phone
- (717) 432-5112
- Fax
- (717) 432-0417
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| RP025369L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grubers Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP025369L | PA | Yes |
Addresses
Primary practice location
18 South Baltimore St
Dillsburg, PA 17019-1227
Mailing address
PO Box 272
Dillsburg, PA 17019-1227
Phone (717) 432-5112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3916674 | Other | PA | NAPB |
Other providers in Dillsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2008. 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.