Active NPI
Julius Oracion Yabut, RPH
- Pharmacist
- Troy, MI
National Provider Identifier
1114563947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028672
- Practice address
- 31 E Long Lake Rd
Troy, MI 48085-4713 - Phone
- (248) 879-6716
- Fax
- (248) 879-7040
- NPI assigned
- Nov 27, 2019
- 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 | 5302028672 | MI | Primary |
Addresses
Primary practice location
31 E Long Lake Rd
Troy, MI 48085-4713
Mailing address
31 E Long Lake Rd
Troy, MI 48085-4713
Phone (248) 879-6716
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028672 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
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": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1114563947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 E LONG LAKE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480854713",
"telephone_number": "248-879-6716",
"fax_number": "248-879-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 E LONG LAKE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480854713",
"telephone_number": "248-879-6716",
"fax_number": "248-879-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABUT",
"first_name": "JULIUS",
"middle_name": "ORACION",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.