Active NPI
Tara Denise Luba, PHARMD.
- Pharmacist
- Hilton Head, SC
National Provider Identifier
1487806303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12279
- Practice address
- 1101 Main St
Hilton Head, SC 29926-1624 - Phone
- (843) 681-2622
- Fax
- (843) 681-9392
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- 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 | 12279 | SC | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 12279 | SC |
Addresses
Primary practice location
1101 Main St
Hilton Head, SC 29926-1624
Mailing address
1101 Main St
Hilton Head, SC 29926-1624
Phone (843) 681-2622
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 |
|---|---|---|---|
| 12279 | SC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1487806303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MAIN ST",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299261624",
"telephone_number": "843-681-2622",
"fax_number": "843-681-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MAIN ST",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299261624",
"telephone_number": "843-681-2622",
"fax_number": "843-681-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBA",
"first_name": "TARA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12279",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "12279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilton Head, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.