Hubbell Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HUBBELL PHARMACY LLC

Practice address

3131 SE Milwaukie Ave
Portland, OR 97202

Phone

(503) 234-3488

Fax

(503) 235-0373

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Scott Hubbell, RPHNPI 1164647897

Title

Pic/Owner

Phone

(503) 234-3488

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brooklyn Pharmacy Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Scott Hubbell, BS PHARMACY

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portland, OR
  • NPI 1164647897
  NPD Authorized official
• Kelly Lenora McAlbin, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portland, OR
  • NPI 1063904621
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1114968815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-234-3488",
            "fax_number": "503-235-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-234-3488",
            "fax_number": "503-235-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "503-234-3488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "00366",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hubbard Chiropractic Clinic, LLC
• Arna Lou Hubbard, FNP
• Katherine Ann Hubbard, M ED. BA. AA. QMHA-R
• Kelly Leonard Hubbard, D.C.
• Tara Hubbard
• Madison Hubbell, LMT
• Patrick Scott Hubbell, BS PHARMACY
• Teresa J Hubbell, LMT
• Aaron Hubbs, ND
• Jordan Hubchik, LPC, LCAT, ATR-BC

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.