Individual provider Active NPI

Amber Hubbling, PHARMD

  • Pharmacist
  • Crosby, MN
National Provider Identifier
1295331353
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
121403 Issued in MN
Practice address
22418 State Highway 6 Ste 400
Crosby, MN 56441-2801
Phone
(218) 545-5360
NPI assigned
Dec 4, 2020
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121403 MN Primary

Addresses

Primary practice location

22418 State Highway 6 Ste 400
Crosby, MN 56441-2801

Mailing address

22418 State Highway 6 Ste 400
Crosby, MN 56441-2801

Other practice location 1

320 E Main St
Crosby, MN 56441-1645
Phone (218) 545-2345

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
121403MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Lakes Pharmacy LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

22418 State Highway 6
Ste 400
Crosby, MN 56441
Phone (218) 545-5360

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1295331353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22418 STATE HIGHWAY 6 STE 400",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564412801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22418 STATE HIGHWAY 6 STE 400",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564412801",
            "telephone_number": "218-545-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Main St",
            "address_purpose": "LOCATION",
            "city": "Crosby",
            "state": "MN",
            "postal_code": "564411645",
            "country_code": "US",
            "telephone_number": "218-545-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBLING",
        "first_name": "AMBER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.