Active NPI
Kelli McCubbins, PHARMD
- Pharmacist
- Normal, IL
National Provider Identifier
1821600438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298553
- Practice address
- 1900 E College Ave
Normal, IL 61761-4507 - Phone
- (309) 888-0810
- Fax
- (309) 862-2196
- NPI assigned
- Aug 17, 2020
- Last updated
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.298553 | IL | Primary |
Addresses
Primary practice location
1900 E College Ave
Normal, IL 61761-4507
Mailing address
1900 E College Ave
Normal, IL 61761-4507
Phone (309) 888-0810
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298553 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1821600438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E COLLEGE AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617614507",
"telephone_number": "309-888-0810",
"fax_number": "309-862-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E COLLEGE AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617614507",
"telephone_number": "309-888-0810",
"fax_number": "309-862-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUBBINS",
"first_name": "KELLI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.