NPIMap

Individual provider Active NPI

Garrett Thomas Hubbs, PHARMD

  • Pharmacist
  • Seymour, IN
National Provider Identifier
1467069039
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26028917A Issued in IN
Practice address
1600 E Tipton St
Seymour, IN 47274-3560
Phone
(812) 522-5252
NPI assigned
Sep 28, 2020
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302416141 MI
Pharmacist 183500000X 021531 KY
Pharmacist 183500000X 26028917A IN Primary

Addresses

Primary practice location

1600 E Tipton St
Seymour, IN 47274-3560

Mailing address

3752 W Deer Circle Blvd
Hanover, IN 47243-8991
Phone (812) 599-8573

Other practice location 1

1013 S Kalamazoo St
Paw Paw, MI 49079-8258
Phone (269) 415-6004

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
26028917AINMDPharmacist
021531KYMDPharmacist
5302416141MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients
Walgreen Co PastSince Oct 1, 2020 Accepting new patients
Walgreen Co PastSince Oct 1, 2020 Accepting new patients
Hook-Superx LLC PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 5

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1467069039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 W DEER CIRCLE BLVD",
            "city": "HANOVER",
            "state": "IN",
            "postal_code": "472438991",
            "telephone_number": "812-599-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743560",
            "telephone_number": "812-522-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Kalamazoo St",
            "address_purpose": "LOCATION",
            "city": "Paw Paw",
            "state": "MI",
            "postal_code": "490798258",
            "country_code": "US",
            "telephone_number": "269-415-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBS",
        "first_name": "GARRETT",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416141",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021531",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028917A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.