Kelly Hubbard, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

30050 Issued in NC

Practice address

11635 Northpark Dr Ste 200
Wake Forest, NC 27587-9350

Phone

(919) 570-6060

Fax

(919) 570-0404

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: khubbard567835@direct.medicine.duke.edu

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1245849843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TOWER BLVD STE 1100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 NORTHPARK DR STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879350",
            "telephone_number": "919-570-6060",
            "fax_number": "919-570-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Creedmoor Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276131711",
            "country_code": "US",
            "telephone_number": "919-327-1650",
            "fax_number": "919-327-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KELLY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "30050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gusler Hough, ARNP
• Elizabeth Tricase Howell, FNP-C
• Ian Howes
• Jacob Young-Jae Hoyt, MSW
• Ben-Hwa Hu, M.D.
• Regenia Mae Hubbard, LCSW
• Tristan Nichole Hubbard, M.S., CCC-SLP
• Human Service Associates
• Shelly Hummel, LMFT
• Abigail Hunter

• Ambulatory Care Pharmacist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Ambulatory Care Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.