Active NPI
Michael Joseph Dubois, R.P.
- Pharmacist
- St Thomas, VI
National Provider Identifier
1396152245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 237
- Practice address
- 4030 Annas Retreat
St Thomas, VI 00802-2221 - Phone
- (340) 777-9255
- NPI assigned
- Jul 11, 2014
- Last updated
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 237 | VI | Primary |
| Pharmacist | 183500000X | 28RI01308300 | NJ |
Addresses
Primary practice location
4030 Annas Retreat
St Thomas, VI 00802-2221
Mailing address
PO Box 502607
St Thomas, VI 00805-2607
Phone (908) 461-5751
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 |
|---|---|---|---|
| 28RI01308300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1396152245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502607",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008052607",
"telephone_number": "908-461-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 ANNAS RETREAT",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008022221",
"telephone_number": "340-777-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "R.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VI",
"license": "237",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01308300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.