MR. KENNETH A HUBBARD SR. (NPI# 1689805772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689805772 |
| Entity Type | Individual |
| Full Name | MR. KENNETH A HUBBARD SR. |
| Credential | RPH |
| Practice Address |
3318 Main Street Mexico NY 13114 |
| Mailing Address |
24 W Bridge St Oswego NY 13126-2051 |
| Practice Telephone | 3159630601 |
| Mailing Telephone | 3153435722 |
| Mailing Fax Number | 3153430085 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 033349 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950353 | Kenneth N. Hubbard Jr. | Optometrist | 519 N Willow St, Harrison, AR 72601-3518 | 2005-05-24 |
| Street Address |
3318 MAIN STREET |
| City | MEXICO |
| State | NY |
| Zip Code | 13114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659488831 | Kph Healthcare Services, Inc. | Pharmacy | 3318 Main Street, Mexico, NY 13114 | 2006-08-24 |
| 1013230861 | Allison Marie Bratek | Pharmacist | 3318 Main Street, Mexico, NY 13114-0540 | 2010-03-09 |
| 1306168406 | Craig Macfarland | Pharmacist | 3318 Main Street, Mexico, NY 13114 | 2010-02-17 |
| 1447497680 | James M Peters | Pharmacist | 3318 Main Street, Mexico, NY 13114 | 2009-01-09 |
| 1578749826 | Heather Bell | Pharmacist | 3318 Main Street, Mexico, NY 13114 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740148 | Jessica Reich | Licensed Practical Nurse | 3255 Main St, #1, Mexico, NY 13114 | 2016-02-15 |
| 1356769657 | Timothy Ross | Speech-Language Pathologist | 16 Fravor Road, Mexico Academy & Central School, Mexico, NY 13114 | 2014-04-03 |
| 1275819955 | Mexico High School | Local Education Agency (LEA) | 3338 Main Street, Mexico, NY 13114 | 2011-10-26 |
| 1841575503 | Nancy Lynn Carr | Speech-Language Pathologist | County Route 64, Oswego County Boces, Mexico, NY 13114 | 2011-10-13 |
| 1710209895 | Melvyn Leonard Shindler | Pharmacist | 3318 Main St., Mexico, NY 13114 | 2010-02-17 |
| 1770818700 | Rebecca Ella Vrooman | Registered Nurse | 503 County Route 41, Mexico, NY 13114 | 2009-10-08 |
| 1437333879 | Oswego County Mental Health | Case Management | 1 Spring Street, Mexico, NY 13114 | 2007-12-20 |
| 1619158821 | Paul Albert Smith Jr. | Licensed Practical Nurse | 6 Mexico Point Drive, Mexico, NY 13114 | 2007-11-15 |
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| 1932275898 | Brandi S. Coleman | Optometrist | 3277 Main St., Mexico, NY 13114 | 2006-11-24 |
| Find all providers in zip 13114 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364708 | Kathy Wall | Pharmacist | 340 Kelley Pkwy Ste D, Mexico, MO 65265-3811 | 2017-09-06 |
| 1790059434 | Kristen Mari Wrigley | Pharmacist | 3318 Main St, Mexico, NY 13114-3002 | 2012-02-27 |
| 1710209895 | Melvyn Leonard Shindler | Pharmacist | 3318 Main St., Mexico, NY 13114 | 2010-02-17 |
| 1992829923 | Larry F. Kimbel | Pharmacist | 1442 Westwood, Mexico, MO 65265-1175 | 2007-03-16 |
| 1104427111 | Sarah Pfaff | Pharmacist | 4820 S Clark St, Mexico, MO 65265-4111 | 2020-11-05 |
| 1649870049 | Linda Marie Mcmanus | Pharmacist | 4820 S Clark St, Mexico, MO 65265-4111 | 2020-10-27 |
| 1184224552 | Jessica Simmons | Pharmacist | 4820 S Clark St, Mexico, MO 65265-4111 | 2020-10-27 |
| 1669072187 | Brianne Rivers | Pharmacist | 4820 S Clark St, Mexico, MO 65265-4111 | 2020-10-26 |
| 1164904546 | Linda K Lowe | Pharmacist | 258 River Rd, Mexico, ME 04257-1812 | 2018-09-03 |
| 1851887426 | Anna M Howe | Pharmacist | 258 River Rd, Mexico, ME 04257-1812 | 2018-07-07 |
| Find all providers in MEXICO | ||||
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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.