=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396869848
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEPHEN MICHAEL HUBER RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30 TOWER DR
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10941-2023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-695-2255
-----------------------------------------------------
Fax | 845-695-1589
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30 TOWER DR
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10941-2023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-695-2255
-----------------------------------------------------
Fax | 845-695-1589
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 046674
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------