Individual provider Active NPI

Lawrence J Lubonski, RPH

  • Pharmacist
  • Pickerington, OH
National Provider Identifier
1063009447
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03539262 Issued in OH
Practice address
1101 Hill Rd N
Pickerington, OH 43147-8887
Phone
(614) 751-1736
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03539262 OH Primary

Addresses

Primary practice location

1101 Hill Rd N
Pickerington, OH 43147-8887

Mailing address

1101 Hill Rd N
Pickerington, OH 43147-8887
Phone (614) 749-0711

Other identifiers 1

IdentifierTypeStateIssuer
03539262OtherOHPHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.lubonski@walgreens.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
03539262OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 3, 2022 Accepting new patients
Walgreen Co PastSince Jan 3, 2021 Accepting new patients

Locations

1101 Hill Rd N
Pickerington, OH 43147
Phone (614) 751-1736

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1063009447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478887",
            "telephone_number": "614-749-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478887",
            "telephone_number": "614-751-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBONSKI",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03539262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "03539262",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.lubonski@walgreens.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 Hill Rd N",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431478887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.