Individual provider Active NPI

Donn Stubbs, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Duncansville, PA
National Provider Identifier
1912508201
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP046167R Issued in PA
Practice address
200 Commerce Dr
Duncansville, PA 16635-4845
Phone
(814) 693-1435
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP046167R PA Primary

Addresses

Primary practice location

200 Commerce Dr
Duncansville, PA 16635-4845

Mailing address

112 Sylvan Oakes Dr
Hollidaysburg, PA 16648-2902
Phone (814) 312-4887

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dlstubb.s04348.us@wal-mart.com

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP046167RPAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: dlstubb.s04348.us@wal-mart.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1912508201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SYLVAN OAKES DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482902",
            "telephone_number": "814-312-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCE DR",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166354845",
            "telephone_number": "814-693-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "DONN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP046167R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dlstubb.s04348.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "112 Sylvan Oakes Dr",
            "city": "Hollidaysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166482902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.