Active NPI
Rebecca B Bakker, RPH
- Pharmacist
- Ashland, WI
National Provider Identifier
1023364379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1430140
- Practice address
- 522 Main St W
Ashland, WI 54806-1512 - Phone
- (715) 682-3123
- Fax
- (715) 682-6494
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114371 | MN | |
| Pharmacist | 183500000X | 1430140 | WI | Primary |
Addresses
Primary practice location
522 Main St W
Ashland, WI 54806-1512
Mailing address
522 Main St W
Ashland, WI 54806-1512
Phone (715) 682-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114371 | MN | MD | Pharmacist |
| 1430140 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1023364379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061512",
"telephone_number": "715-682-3123",
"fax_number": "715-682-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061512",
"telephone_number": "715-682-3123",
"fax_number": "715-682-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKKER",
"first_name": "REBECCA",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114371",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "1430140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
- Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. (Bad River Clinic Pharmacy)
- Bad River Health and Wellness Center
- Bad River Honoring Our Children
- Krishna Raj Bagale
- Robert Bailen, ABO
- Sara Maria Balbin
- Euzar Balinas
- Lexi Claire Barningham
- Susan Kay Barningham, RN, CNP
- Bernadette Kathleen Bashinski, APNP, ANP, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.