Active NPI
Lisa Patterson Hubbard, PHARMD
- Pharmacist
- Saint George, UT
National Provider Identifier
1891572905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6091
- Practice address
- 2276 E Riverside Dr
Saint George, UT 84790-2636 - Phone
- (435) 986-2565
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | P6091 | ID | Primary |
Addresses
Primary practice location
2276 E Riverside Dr
Saint George, UT 84790-2636
Mailing address
3374 S Pecos Dr
Washington, UT 84780-3445
Phone (208) 871-3988
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 |
|---|---|---|---|
| P6091 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1891572905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3374 S PECOS DR",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847803445",
"telephone_number": "208-871-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2276 E RIVERSIDE DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847902636",
"telephone_number": "435-986-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "LISA",
"middle_name": "PATTERSON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.