Active NPI
Stephanie Rabino, PHARMD
- Pharmacist
- Rancho Mirage, CA
National Provider Identifier
1104456805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83694
- Practice address
- 42520 Bob Hope Dr
Rancho Mirage, CA 92270-4471 - Phone
- (760) 568-5651
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 63861 | TX | |
| Pharmacist | 183500000X | 83694 | CA | Primary |
Addresses
Primary practice location
42520 Bob Hope Dr
Rancho Mirage, CA 92270-4471
Mailing address
1436 Silver Spur Dr
Allen, TX 75002-0805
Phone (469) 471-5841
Other practice location 1
4350 Oak Park Ln
Fort Worth, TX 76109-1512
Phone (817) 920-0600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83694 | CA | MD | Marriage & Family Therapist |
| 63861 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California 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": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1104456805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 SILVER SPUR DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750020805",
"telephone_number": "469-471-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42520 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704471",
"telephone_number": "760-568-5651"
}
],
"practiceLocations": [
{
"address_1": "4350 Oak Park Ln",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761091512",
"country_code": "US",
"telephone_number": "817-920-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RABINO",
"first_name": "STEPHANIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2021-02-12",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63861",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.