Dylan Shane Hubers

Primary specialty

PharmacistTaxonomy code 183500000X

License

25943 Issued in NC

Practice address

633 NC 33 E
Chocowinity, NC 27817-9005

Phone

(252) 946-4000

Fax

(252) 946-4000

NPI assigned

Aug 1, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chocowinity Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Chocowinity, NC
  • NPI 1154441681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750805636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NC 33 E",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278179005",
            "telephone_number": "252-946-4000",
            "fax_number": "252-946-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NC 33 E",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278179005",
            "telephone_number": "252-946-4000",
            "fax_number": "252-946-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERS",
        "first_name": "DYLAN",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Anesthesia Services, Inc.
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• Cypress Coast Care LLC
• Dream Provider Care Services
• Leigh Hombirg
• James Robert Hull, DO
• Cynthia Hullings, RN
• Life, Inc.
• Life, Inc.
• Donell Webster Moore, EMT

• Pharmacist in Chocowinity, NC
• Providers in Chocowinity, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.