Individual provider Active NPI

Jordan Ashley Kubas, PHARMD

  • Pharmacist
  • Gibsonia, PA
National Provider Identifier
1114484557
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452468 Issued in PA
Practice address
550 Grandview Crossing Dr
Gibsonia, PA 15044-7100
Phone
(724) 799-2238
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452468 PA Primary

Addresses

Primary practice location

550 Grandview Crossing Dr
Gibsonia, PA 15044-7100

Mailing address

430 Ascent Dr Apt 15105
Wexford, PA 15090-6868
Phone (412) 491-0580

Other identifiers 1

IdentifierTypeStateIssuer
RP452468OtherPASTATE BOARD OF PHARMACY LICENSE

Other names 1

  • Dr. Jordan Ashley Manuel Former name

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

LicenseStateTypeSpecialty
RP452468PAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: jordan.kubas@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1114484557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ASCENT DR APT 15105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906868",
            "telephone_number": "412-491-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GRANDVIEW CROSSING DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447100",
            "telephone_number": "724-799-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAS",
        "first_name": "JORDAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "RP452468",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MANUEL",
            "middle_name": "ASHLEY",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.