Joseph John Kubulak, RPH, CCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RI16441 Issued in NJ

Practice address

404 Johnstone St
Perth Amboy, NJ 08861-3330

Phone

(732) 516-8409

Fax

(732) 346-1999

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982776993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JOHNSTONE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613330",
            "telephone_number": "732-442-4484",
            "fax_number": "732-346-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JOHNSTONE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613330",
            "telephone_number": "732-516-8409",
            "fax_number": "732-346-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBULAK",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH, CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI16441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Kraemer, C.N.M.
• Alva Kramer
• Laura Krause
• Sidney Kress, M.D.
• Kamakshi Krishnan, M.D.
• Eva Lynn Kucaba, APN
• Rohit Kulkarni, MD
• Susan Kurdyla, R.N.
• Marina R Kuzmich, DMD
• Mark Kenneth Stanley Kwarciak, MD

• Pharmacist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.