Active NPI
Clifford Patric Tsuboi
- Pharmacist
- Lexington, KY
National Provider Identifier
1477610327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 009332
- Practice address
- 3349 Tates Creek Rd
Lansdowne Shopping Center
Lexington, KY 40502-3467 - Phone
- (859) 266-0413
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 009332 | KY | Primary |
Addresses
Primary practice location
3349 Tates Creek Rd
Lansdowne Shopping Center
Lexington, KY 40502-3467
Mailing address
3306 Montavesta Rd
Apt D-16
Lexington, KY 40502-3554
Phone (859) 266-9881
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 |
|---|---|---|---|
| 009332 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477610327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 MONTAVESTA RD",
"address_2": "APT D-16",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023554",
"telephone_number": "859-266-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3349 TATES CREEK RD",
"address_2": "LANSDOWNE SHOPPING CENTER",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023467",
"telephone_number": "859-266-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUBOI",
"first_name": "CLIFFORD",
"middle_name": "PATRIC",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "009332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.