Timothy Matthew Giacobbe, PHARM.D

Individual provider Active NPI Pharmacist · Gibbstown, NJ

NPI 1134433436 · NPPES record last updated Jul 29, 2010

Key facts

NPI
1134433436
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI03302600 (NJ)
Practice address
380 Harmony Rd
Gibbstown, NJ 08027-1702
Phone
(856) 423-2944
Fax
(856) 423-5873
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03302600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Jersey Inc Past Accepting new patients
Rite Aid of New Jersey Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03302600 NJ Yes

Addresses

Primary practice location

380 Harmony Rd
Gibbstown, NJ 08027-1702

Mailing address

380 Harmony Rd
Gibbstown, NJ 08027-1702
Phone (856) 423-2944

Other providers in Gibbstown, NJ

All providers in Gibbstown, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.