TIBBOTTS PHARMACY INC NPI 1679655476

NPI Information

  • NPI: 1679655476
  • Provider Name: TIBBOTTS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: TIBBOTTS PHARMACY INC
  • Address: 1104 W HIGH ST
    STE1, KIMBALL PLAZA
    EBENSBURG, PA
    ZIP 15931
  • Phone: (814) 472-9390

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NPI Details

TIBBOTTS PHARMACY INC is a community/retail pharmacy pharmacy in Ebensburg, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TIBBOTTS PHARMACY INC NPI is 1679655476. The provider is registered as an organization entity type.
The provider Is Doing Business As Tibbotts Pharmacy Inc.

The provider's business location address is:

1104 W HIGH ST
STE1, KIMBALL PLAZA
EBENSBURG, PA
ZIP 15931-707
Phone: (814) 472-9390
Fax: (814) 472-1166

The provider's authorized official is Rowland Tibbott .
The authorized official title is Owner and has the following contact phone number (814) 472-9390.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPP412694LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000933360MEDICAIDPENNSYLVANIA
23911636OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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