Rebekah Lauren Panak-Stuart, PHARMD, RPH, MS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

17134 Issued in OK

Practice address

1400 E 2ND St
Edmond, OK 73034-5321

Phone

(918) 955-1694

Fax

(405) 216-9660

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Toledo Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1366725863
  NPD (past)
• Toledo Family Pharmacy Main St LLC

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1225581150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1033628417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121532",
            "telephone_number": "419-470-0700",
            "fax_number": "419-470-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345321",
            "telephone_number": "918-955-1694",
            "fax_number": "405-216-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAK-STUART",
        "first_name": "REBEKAH",
        "middle_name": "LAUREN",
        "credential": "PHARMD, RPH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OK",
            "license": "17134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
            "identifier": "17134",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah.panak@walgreens.com",
            "affiliation": "N",
            "address_1": "1400 E 2nd St",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730345321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine A Palmer, RD
• Megan Palmer, OTA
• Roberta G Palmer, APRN-FAMILY
• Todd Palmer, LPC
• Panacea Therapy Group, LLC
• Jayesh Panchal, MD
• Ganga Bhavani Pandaraboyina
• Keshav Panday, MD
• Catherine Anne Panfilio, RD
• Pankalla Speech and Language LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Edmond, OK
• Providers in Edmond, OK by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.