Healthcare Provider Details

I. General information

NPI: 1447233507
Provider Name (Legal Business Name): GREGG IRA LUBINSKY RPH, CCP, FASCP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 FAIRFIELD RD
BRIDGEWATER NJ
08807-1402
US

IV. Provider business mailing address

1169 FAIRFIELD RD
BRIDGEWATER NJ
08807-1402
US

V. Phone/Fax

Practice location:
  • Phone: 908-685-1373
  • Fax: 908-685-1718
Mailing address:
  • Phone: 908-685-1373
  • Fax: 908-685-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01503700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number28RI01503700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number28RI01503700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number28RI01503700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: