Active NPI
Philip Sloboda
- Pharmacotherapy Pharmacist
- Portage, IN
National Provider Identifier
1245640952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26023822A
- Practice address
- 6050 US Highway 6
Portage, IN 46368-5047 - Phone
- (219) 763-0310
- NPI assigned
- May 2, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26023822A | IN | Primary |
Addresses
Primary practice location
6050 US Highway 6
Portage, IN 46368-5047
Mailing address
6050 US Highway 6
Portage, IN 46368-5047
Phone (219) 763-0310
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26023822A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1245640952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 US HIGHWAY 6",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685047",
"telephone_number": "219-763-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 US HIGHWAY 6",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685047",
"telephone_number": "219-763-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOBODA",
"first_name": "PHILIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26023822A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.