Active NPI
David W Kubiak, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Boston, MA
National Provider Identifier
1477818094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH26045
- Practice address
- 75 Francis St
L2 Tower Pharmacy
Boston, MA 02115-6110 - Phone
- (617) 732-7153
- NPI assigned
- Jul 10, 2012
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH26045 | MA | Primary |
Addresses
Primary practice location
75 Francis St
L2 Tower Pharmacy
Boston, MA 02115-6110
Mailing address
75 Francis St
L2 Tower Pharmacy
Boston, MA 02115-6110
Phone (617) 732-7153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH26045 | Other | MA | MASSACHUSETTS PHARMACY LICENSE NUMBER: |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH26045 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1477818094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "L2 TOWER PHARMACY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "L2 TOWER PHARMACY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBIAK",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "PH26045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS PHARMACY LICENSE NUMBER:",
"identifier": "PH26045",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.