Active NPI
Robert L Skiba, BS IN PHARMACY
- Pharmacist
- Elizabeth City, NC
National Provider Identifier
1811278419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16575
- Practice address
- 1700 W Ehringhaus St
Elizabeth City, NC 27909-4554 - Phone
- (252) 331-1201
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202004597 | VA | |
| Pharmacist | 183500000X | 16575 | NC | Primary |
Addresses
Primary practice location
1700 W Ehringhaus St
Elizabeth City, NC 27909-4554
Mailing address
1700 W. Ehringhaus Street
Elizabeth City, NC 27909
Phone (252) 331-1201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202004597 | Other | VA | STATE PHARMACIST LICENSE |
| 16575 | Other | NC | STATE PHARMACIST LICENSE |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004597 | VA | MD | Pharmacist |
| 16575 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1811278419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W. EHRINGHAUS STREET",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "27909",
"telephone_number": "252-331-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W EHRINGHAUS ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094554",
"telephone_number": "252-331-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIBA",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "BS IN PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004597",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "0202004597",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "16575",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.