Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Daniel Robert Kubisiak, DPH

Individual provider Pharmacist · NPI 1790729978

Mr. Daniel Robert Kubisiak, DPH is a Pharmacist in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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Practice location Partly verified

Some contact details are missing from the federal record.

Corner Of Sidney And Lamont Street James H Quillen Vamc
Johnson City, TN 37604
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 4523 (TN)

Record details

NPI number1790729978
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressP.O. Box 4000 James H Qullen Vamc, Corner Of Lamont And Sidney, Mountain Home, TN 37684-3412

Other providers in Johnson City