Active NPI
Paula D Subock, RPH
- Pharmacist
- Dover, PA
National Provider Identifier
1013350388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP032184L
- Practice address
- 2850 Carlisle Rd
Dover, PA 17315-4602 - Phone
- (717) 764-3382
- Fax
- (717) 764-4681
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP032184L | PA | Primary |
Addresses
Primary practice location
2850 Carlisle Rd
Dover, PA 17315-4602
Mailing address
2850 Carlisle Rd
Dover, PA 17315-4602
Phone (717) 764-3382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP032184L | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP032184L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1013350388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 CARLISLE RD",
"city": "DOVER",
"state": "PA",
"postal_code": "173154602",
"telephone_number": "717-764-3382",
"fax_number": "717-764-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 CARLISLE RD",
"city": "DOVER",
"state": "PA",
"postal_code": "173154602",
"telephone_number": "717-764-3382",
"fax_number": "717-764-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBOCK",
"first_name": "PAULA",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP032184L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RP032184L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.