Richard Michael Ciubinski Jr., RPH
Individual provider Active NPI Pharmacist · Bayville, NJ
NPI 1457768095 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1457768095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02239100 (NJ)
- Practice address
- 82 Timberline Rd
Bayville, NJ 08721-2173 - Phone
- (732) 269-1161
- Fax
- (847) 747-1555
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PS28029 | FL | MD | Pharmacist |
| 28RI02239100 | NJ | MD | Pharmacist |
| RP044431R | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02239100 | NJ | Yes |
| Pharmacist | 183500000X | RP044431R | PA | |
| Pharmacist | 183500000X | PS28029 | FL |
Addresses
Primary practice location
82 Timberline Rd
Bayville, NJ 08721-2173
Mailing address
82 Timberline Rd
Bayville, NJ 08721-2173
Phone (732) 269-1161
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2014. 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.