Kevin E Subler, PD PHARMD
Individual provider Active NPI Pharmacist · Versailles, OH
NPI 1669720108 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1669720108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH03131763 (OH)
- Practice address
- 42 W. Main St
Kaup Pharmacy Inc
Versailles, OH 45380 - Phone
- (937) 526-3337
- Fax
- (937) 526-4118
- NPI assigned
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH03131763 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jlkgt Investments LLC | Past | Accepting new patients | |
| Kaup Pharmacy, Inc. | Past | Accepting new patients | |
| Kaup Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH03131763 | OH | Yes |
Addresses
Primary practice location
42 W. Main St
Kaup Pharmacy Inc
Versailles, OH 45380
Mailing address
P.O.B 605
110 E. Butler St
Fort Recovery, OH 45846-0605
Phone (419) 375-2323
Other providers in Versailles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.