Active NPI
Neil Tubben, R.PH.
- Pharmacist
- Detroit, MI
National Provider Identifier
1043618663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024852
- Practice address
- 5412 W Warren Ave
Detroit, MI 48210-1217 - Phone
- (313) 894-4300
- NPI assigned
- Dec 12, 2014
- Last updated
- Dec 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302024852 | MI | Primary |
Addresses
Primary practice location
5412 W Warren Ave
Detroit, MI 48210-1217
Mailing address
5412 W Warren Ave
Detroit, MI 48210-1217
Phone (313) 894-4300
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 |
|---|---|---|---|
| 5302024852 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5412 West Warren Drugs Inc | Past | Accepting new patients | |
| 5412 West Warren Drugs Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Action Drugs #2
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1922058239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1043618663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482101217",
"telephone_number": "313-894-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482101217",
"telephone_number": "313-894-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBEN",
"first_name": "NEIL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.