IndividualActive
Daniel Kubisiak, D.PH
NPI 1790729978 · Pharmacist · Johnson City, TN
Provider details
- NPI number
- 1790729978
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- D.PH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4523 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Corner of Sidney and Lamont Street
James H. Quillen Vamc
Johnson City, TN 37604
Phone: (423) 926-1171
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 4000 James H Qullen Vamc
Mountain Home, TN 37684-3412
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.