Rehoboth Pharmacy Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27951 Issued in TX

Legal business name

REHOBOTH PHARMACY SERVICES

Doing business as

Rehoboth Pharmacy Services

Practice address

700 S Zarzamora St
Suite 108
San Antonio, TX 78207-5255

Phone

(210) 434-9999

Fax

(210) 434-9998

NPI assigned

Mar 27, 2012

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcelle Gossan

Title

Owner/Pharmacy Manager

Phone

(954) 288-4959

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• REHOBOTH PHARMACY SERVICES Doing business as

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1043586795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 KENTON HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405414",
            "telephone_number": "210-434-9999",
            "fax_number": "210-434-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST",
            "address_2": "SUITE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075255",
            "telephone_number": "210-434-9999",
            "fax_number": "210-434-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GOSSAN",
        "authorized_official_first_name": "MARCELLE",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-288-4959"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27951",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHOBOTH PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unknown Rehana Bashir
• Amber Rehman, LPC
• Asad Rehman, DO
• Oves Mohammad Rehman
• Shaza Rehman, PHARMD
• Don C Rehwaldt, PMHNP
• Kianna Reich
• Stephen Scott Reich, MD
• Courtney Reichel, MS, CNIM
• Renee Reichelderfer, RN

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.