Active NPI
Emily A Kubacki, PHARMD
- Pharmacist
- East Longmeadow, MA
National Provider Identifier
1851996276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239012
- Practice address
- 217 N Main St
East Longmeadow, MA 01028-1833 - Phone
- (413) 525-4510
- Fax
- (413) 525-1826
- NPI assigned
- Dec 2, 2020
- 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 | PH239012 | MA | Primary |
Addresses
Primary practice location
217 N Main St
East Longmeadow, MA 01028-1833
Mailing address
217 N Main St
East Longmeadow, MA 01028-1833
Phone (413) 525-4510
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 |
|---|---|---|---|
| PH239012 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1851996276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N MAIN ST",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281833",
"telephone_number": "413-525-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 N MAIN ST",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281833",
"telephone_number": "413-525-4510",
"fax_number": "413-525-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBACKI",
"first_name": "EMILY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.