Timothy Michael Palombo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01791100 Issued in NJ

Practice address

1907 Atlantic Ave
North Wildwood, NJ 08260

Phone

(609) 770-7286

Fax

(609) 886-3947

NPI assigned

Mar 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1932422136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605363",
            "telephone_number": "609-770-7286",
            "fax_number": "609-886-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "08260",
            "telephone_number": "609-770-7286",
            "fax_number": "609-886-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBO",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27722",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01791100",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28J00394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Moore, LMT
• New Jersey CVS Pharmacy LLC
• North Wildwood Board of Education
• North Wildwood Medical Associates, PA
• Christina Rose O'Halloran, PT, DPT
• Sean Persaud
• Robert K Petrelli, O.D.
• Robert K. Petrelli, OD
• Vickie L Smith, MFT, LPC
• Warrior Cognitive and Psychological Services

• All providers in North Wildwood, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.