Individual provider Active NPI

Jan A Kublitz, R.PH

  • Pharmacist
  • Cheektowaga, NY
National Provider Identifier
1356522098
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35455 Issued in NY
Practice address
700 Thruway Plaza Drive
Tops Pahrmacy
Cheektowaga, NY 14227
Phone
(716) 929-0383
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35455 NY Primary

Addresses

Primary practice location

700 Thruway Plaza Drive
Tops Pahrmacy
Cheektowaga, NY 14227

Mailing address

141 Shellridge Dr
East Amherst, NY 14051-1389
Phone (716) 636-9867

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
35455NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1356522098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SHELLRIDGE DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511389",
            "telephone_number": "716-636-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 THRUWAY PLAZA DRIVE",
            "address_2": "TOPS PAHRMACY",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14227",
            "telephone_number": "716-929-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBLITZ",
        "first_name": "JAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "35455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.