PHILLIP OTTO LUBINA (NPI# 1174602510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174602510 |
| Entity Type | Individual |
| Full Name | PHILLIP OTTO LUBINA |
| Credential | PHARM.D. |
| Practice Address |
1951 Holmes St Livermore CA 94550-6015 |
| Mailing Address |
5160 Judsonville Dr Antioch CA 94531-8501 |
| Practice Telephone | 9254477762 |
| Practice Fax Number | 9254474375 |
| Mailing Telephone | 9255506412 |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2016-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9014 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 1945 | HI | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
39554 | CA | Pharmacy Service Providers |
| Street Address |
1951 HOLMES ST |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883731 | Lucky Stores II LLC | Pharmacy | 1951 Holmes St, Livermore, CA 94550-6015 | 2006-06-02 |
| 1326600768 | Leslee Russell | Pharmacist | 1951 Holmes St, Livermore, CA 94550-6015 | 2019-07-06 |
| 1619216652 | Tina Camanh Li | Pharmacist | 1951 Holmes St, Livermore, CA 94550-6015 | 2013-02-12 |
| 1801930979 | Save Mart Supermarkets | Pharmacy | 1951 Holmes St, Livermore, CA 94550-6015 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600750 | Marwa Kassem | Pharmacist | 4405 1st St, Livermore, CA 94551-4915 | 2019-07-05 |
| 1023241130 | Thomas Cremona | Pharmacist | 124 Turkey Lane Rd, Livermore, ME 04253-4204 | 2009-08-24 |
| 1952567000 | Leaf Bodhi Sexton | Pharmacist | 3000 Las Positas Rd, Livermore, CA 94551-9627 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.