Tibbotts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412694L Issued in PA

Legal business name

TIBBOTTS PHARMACY INC

Practice address

1104 W High St
Ste1, Kimball Plaza
Ebensburg, PA 15931-1707

Phone

(814) 472-9390

Fax

(814) 472-1166

NPI assigned

Oct 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rowland Tibbott, RPH

Title

Owner

Phone

(814) 472-9390

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TIBBOTTS PHARMACY INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1679655476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W HIGH ST",
            "address_2": "BOX 179",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W HIGH ST",
            "address_2": "STE1, KIMBALL PLAZA",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311707",
            "telephone_number": "814-472-9390",
            "fax_number": "814-472-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBBOTTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "TIBBOTT",
        "authorized_official_first_name": "ROWLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-472-9390",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412694L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933360",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3911636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIBBOTTS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie An Thomas
• Sheena Thomas
• David P Thompson, PT
• Janette Thompson
• Rowland Humphreys Tibbott
• Kimberly Todaro
• Jared Walter Todorowski
• Jane Tolley, OT
• Elizabeth Toulantis
• Caitlin Jane Trabert, MS, CRC, LPC

• Community/Retail Pharmacy in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.