Active NPI
Pamela J Lubke, PHARMD
- Pharmacist
- Eastland, TX
National Provider Identifier
1104401686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29072
- Practice address
- 1410 E Main St
Eastland, TX 76448-3023 - Phone
- (254) 629-3371
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- 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 | 29072 | TX | Primary |
Addresses
Primary practice location
1410 E Main St
Eastland, TX 76448-3023
Mailing address
305 Rash LN
Terrell, TX 75160-1417
Phone (214) 693-3518
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 |
|---|---|---|---|
| 29072 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1104401686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 RASH LN",
"city": "TERRELL",
"state": "TX",
"postal_code": "751601417",
"telephone_number": "214-693-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E MAIN ST",
"city": "EASTLAND",
"state": "TX",
"postal_code": "764483023",
"telephone_number": "254-629-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBKE",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.