Active NPI
Jeff Csubak
- Pharmacist
- Ellenton, FL
National Provider Identifier
1700153806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0023628
- Practice address
- 5945 US Highway 301 N
Ellenton, FL 34222-2953 - Phone
- (941) 722-2884
- Fax
- (941) 723-3654
- NPI assigned
- Nov 17, 2011
- Last updated
- Nov 17, 2011
- 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 | PS0023628 | FL | Primary |
Addresses
Primary practice location
5945 US Highway 301 N
Ellenton, FL 34222-2953
Mailing address
2974 Wilderness Blvd E
Parrish, FL 34219-9269
Phone (941) 776-3280
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 |
|---|---|---|---|
| PS0023628 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1700153806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 WILDERNESS BLVD E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342199269",
"telephone_number": "941-776-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5945 US HIGHWAY 301 N",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222953",
"telephone_number": "941-722-2884",
"fax_number": "941-723-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CSUBAK",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0023628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenton, FL
- Cristian V Chiritescu, M.D.
- Pepharon Ciceron
- Jamil Collins, MSW
- Cortez Foot & Ankle Specialists, P.a. (Cortez Foot and Ankle Specialists)
- Counseling and Consultative Services LLC (LaVerne M Kalafor)
- Jean A Dalton, LMT, MMP
- Robert Davis
- Daniel C Delrose, DDS
- Krysti Suzanne Doerr, P.T.
- Dominica M. Rivera LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.