Active NPI
Robert Leo Dubuque Jr., PHARMD
- Pharmacist
- Perry Point, MD
National Provider Identifier
1104184803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17335
- Practice address
- VA Medical Center
Building 361
Perry Point, MD 21902 - Phone
- (410) 441-4588
- NPI assigned
- May 1, 2012
- Sex
- Male
- 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 | 17335 | MD | Primary |
Addresses
Primary practice location
VA Medical Center
Building 361
Perry Point, MD 21902
Mailing address
288 Calvary LN
Rising Sun, MD 21911-2643
Phone (410) 441-4588
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17335 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1104184803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 CALVARY LN",
"city": "RISING SUN",
"state": "MD",
"postal_code": "219112643",
"telephone_number": "410-441-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "BUILDING 361",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "21902",
"telephone_number": "410-441-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBUQUE",
"first_name": "ROBERT",
"middle_name": "LEO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.