Victoria Hubert
Individual provider Active NPI Pharmacist · Cedar Springs, MI
NPI 1811508609 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1811508609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302412817 (MI)
- Practice address
- 4166 17 Mile Rd NE
Cedar Springs, MI 49319-9451 - Phone
- (616) 696-9040
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5302412817 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412817 | MI | Yes |
Addresses
Primary practice location
4166 17 Mile Rd NE
Cedar Springs, MI 49319-9451
Mailing address
11666 Pine Island Dr
Sparta, MI 49345-9554
Phone (616) 308-0850
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victoria.hubert@riteaid.com | RITE AID OF MICHIGAN INC |
Other providers in Cedar Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.