Individual provider Active NPI

Amanda Saunders Rebb, PHARMD

  • Pharmacist
  • Reidsville, NC
National Provider Identifier
1144511361
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15987 Issued in NC
Practice address
1703 Freeway Dr
Reidsville, NC 27320-7121
Phone
(336) 616-1375
Fax
(336) 616-1531
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15987 NC Primary

Addresses

Primary practice location

1703 Freeway Dr
Reidsville, NC 27320-7121

Mailing address

151 Putter LN
Summerfield, NC 27358-7914
Phone (336) 616-0437

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
15987NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1144511361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PUTTER LN",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273587914",
            "telephone_number": "336-616-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 FREEWAY DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207121",
            "telephone_number": "336-616-1375",
            "fax_number": "336-616-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBB",
        "first_name": "AMANDA",
        "middle_name": "SAUNDERS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.