Samuel Ethan Kubas, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452311 Issued in PA

Practice address

5990 University Blvd Ste 30
Coraopolis, PA 15108-4229

Phone

(412) 262-2161

NPI assigned

Aug 11, 2018

Last updated

Aug 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrift Drug Inc

  dba Rite Aid Pharmacy 10908

  • Community/Retail Pharmacy
  • Moon Township, PA
  • NPI 1568561827
  NPD (past)
• Thrift Drug Inc

  dba Rite Aid Pharmacy 10408

  • Community/Retail Pharmacy
  • Hamburg, NJ
  • NPI 1114026341
  NPD (past)

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1972082824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ASCENT DR APT 15105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906868",
            "telephone_number": "412-605-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 UNIVERSITY BLVD STE 30",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084229",
            "telephone_number": "412-262-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAS",
        "first_name": "SAMUEL",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Kovach, MA CCC-SLP
• Kim Joseph Koza, O.D.
• Elizabeth Catherine Kozuch, OTR/L
• David V Krymowski, DMD
• Elizabeth Krystyniak, OTR
• Duranna Kurtz, OTR/L
• Jacqueline Kyle, OTR
• Robert L Lacava, P.T.
• Alexis Lafuria, OTR
• Victoria Laird-Pongrace, OTR

• Pharmacist in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.