Active NPI
Beverly Kubesh
- Pharmacist
- Auburn, CA
National Provider Identifier
1558774836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH48851
- Practice address
- 13384 Lincoln Way
Auburn, CA 95603-3239 - Phone
- (530) 885-5785
- Fax
- (530) 885-7817
- NPI assigned
- Jun 4, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH48851 | CA | Primary |
Addresses
Primary practice location
13384 Lincoln Way
Auburn, CA 95603-3239
Mailing address
111 Adora Cir
Roseville, CA 95678-4400
Phone (530) 863-7583
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 |
|---|---|---|---|
| RPH48851 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1558774836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ADORA CIR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784400",
"telephone_number": "530-863-7583",
"fax_number": "530-885-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13384 LINCOLN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033239",
"telephone_number": "530-885-5785",
"fax_number": "530-885-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBESH",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH48851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.