Mulu Yacouba Lubula, PHARMD, MBA, MS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

033.0134611 Issued in VT

Practice address

4993 Main St Ste a
Manchester Center, VT 05255-9768

Phone

(802) 362-2230

NPI assigned

Mar 7, 2023

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

Credentials

Master of Business Administration, Master of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770283871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 RENKIN DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463864",
            "telephone_number": "802-343-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4993 MAIN ST STE A",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559768",
            "telephone_number": "802-362-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBULA",
        "first_name": "MULU",
        "middle_name": "YACOUBA",
        "credential": "PHARMD, MBA, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VT",
            "license": "033.0134611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Allen Lazzari, PSYD
• Lesley Brodie, M.D., P.C.
• Carol A Loeffler, PHD
• Leigh S Lopresti, MD
• Katherine J Lowkes, AU.D.
• Glen Carlisle Mackenzie, MD
• Christie J Mackson, APRN
• Katherine Maclauchlan
• Dakota Malik, ND
• Richard Malik, N.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.