Provider Demographics
NPI:1356218226
Name:ROSSI, TODD J (RPH)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:J
Last Name:ROSSI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-1836
Mailing Address - Country:US
Mailing Address - Phone:609-214-8996
Mailing Address - Fax:
Practice Address - Street 1:228 COUNTRY CLUB BLVD
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-1836
Practice Address - Country:US
Practice Address - Phone:609-214-8996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02093100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist