Timothy R Colby, RPH
Individual provider Active NPI Pharmacist · Rowley, MA
NPI 1679765457 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1679765457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19299 (MA)
- Practice address
- 79 Kittery Ave
Rowley, MA 01969-1013 - Phone
- (978) 948-5486
- NPI assigned
- Aug 15, 2007
- 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 |
|---|---|---|---|
| 19299 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19299 | MA | Yes |
Addresses
Primary practice location
79 Kittery Ave
Rowley, MA 01969-1013
Mailing address
79 Kittery Ave
Rowley, MA 01969-1013
Other providers in Rowley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. 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.