Nicholas Joseph Dubos
Individual provider Active NPI Pharmacist · Columbiana, OH
NPI 1760015044 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1760015044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03237395 (OH)
- Practice address
- 120 South Vine St
Columbiana, OH 44408 - Phone
- (330) 482-3816
- NPI assigned
- Feb 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03237395 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiana Family Drug, Inc. | Current |
Accepting new patients | |
| Columbiana Family Drug Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03237395 | OH | Yes |
Addresses
Primary practice location
120 South Vine St
Columbiana, OH 44408
Mailing address
120 S Vine St
Columbiana, OH 44408
Other practice location 1
1914 Bailey Rd
Cuyahoga Falls, OH 44221-4312
Phone (330) 922-4466
Other providers in Columbiana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. 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.