Individual provider Active NPI

Rebecca Pashek, PHARMD

  • Pharmacist
  • Tomahawk, WI
National Provider Identifier
1053701037
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17221-40 Issued in WI
Practice address
79 Hometown Dr
Tomahawk, WI 54487-3301
Phone
(715) 453-5996
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17221-40 WI Primary
Pharmacist 183500000X 22237 IA

Addresses

Primary practice location

79 Hometown Dr
Tomahawk, WI 54487-3301

Mailing address

79 Hometown Dr
Tomahawk, WI 54487-3301
Phone (715) 453-5996

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22237IAMDPharmacist
17221-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shopko Stores Operating Co LLC Past Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1053701037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HOMETOWN DR",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544873301",
            "telephone_number": "715-453-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HOMETOWN DR",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544873301",
            "telephone_number": "715-453-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHEK",
        "first_name": "REBECCA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17221-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomahawk, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.