Individual provider Active NPI

Lisa Jean Hubka, R.PH.

  • Pharmacist
  • Mason City, IA
National Provider Identifier
1063793958
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18998 Issued in IA
Practice address
1251 4TH St SW
Mason City, IA 50401-2710
Phone
(641) 423-2034
Fax
(641) 423-0527
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18998 IA Primary
Pharmacist 183500000X 119082 MN

Addresses

Primary practice location

1251 4TH St SW
Mason City, IA 50401-2710

Mailing address

1251 4TH St SW
Mason City, IA 50401-2710
Phone (641) 423-2034

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
18998IAMDPharmacist
119082MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1063793958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012710",
            "telephone_number": "641-423-2034",
            "fax_number": "641-423-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012710",
            "telephone_number": "641-423-2034",
            "fax_number": "641-423-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBKA",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18998",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.