Joshua Gariboldi, PHARMD
Individual provider Active NPI Pharmacist · Taylors, SC
NPI 1770831778 · NPPES record last updated Aug 22, 2012
Key facts
- NPI
- 1770831778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH 13812 (SC)
- Practice address
- 6025 Wade Hampton Blvd
T-1937
Taylors, SC 29687-5334 - Phone
- (864) 879-9721
- Fax
- (864) 416-5787
- NPI assigned
- Aug 22, 2012
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 13812 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 13812 | SC | Yes |
Addresses
Primary practice location
6025 Wade Hampton Blvd
T-1937
Taylors, SC 29687-5334
Mailing address
6025 Wade Hampton Blvd
T-1937
Taylors, SC 29687-5334
Phone (864) 879-9721
Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2012. 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.