Individual provider Active NPI

Nicole Ann Hubach, R.PH.

  • Pharmacist
  • Warrensville Heights, OH
National Provider Identifier
1235370123
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-21640 Issued in OH
Practice address
26851 Miles Rd Ste 202
Warrensville Heights, OH 44128-5991
Phone
(216) 292-2999
Fax
(216) 292-2992
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-21640 OH Primary
Pharmacist 183500000X 13083 NE
Pharmacist 183500000X 013926K KY
Pharmacist 183500000X 18383 LA
Pharmacist 183500000X PD10629 AR

Addresses

Primary practice location

26851 Miles Rd Ste 202
Warrensville Heights, OH 44128-5991

Mailing address

26851 Miles Road
Suite 202
Warrensville Heights, OH 44128
Phone (216) 292-2999

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

LicenseStateTypeSpecialty
PD10629ARMDPharmacist
013926KKYMDPharmacist
18383LAMDPharmacist
13083NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1235370123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26851 MILES ROAD",
            "address_2": "SUITE 202",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-292-2999",
            "fax_number": "216-292-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26851 MILES RD STE 202",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285991",
            "telephone_number": "216-292-2999",
            "fax_number": "216-292-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBACH",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-21640",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13083",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013926K",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18383",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.