Rebecca Revock, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

30062747 Issued in OH

Practice address

8333 Rockside Rd
Cleveland, OH 44125-6134

Phone

(216) 369-2200

NPI assigned

Aug 23, 2023

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 2

Other names 1

• Rebecca Weitzman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1164206702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 ROCKSIDE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256134",
            "telephone_number": "216-369-2200",
            "fax_number": "216-369-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 ROCKSIDE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256134",
            "telephone_number": "216-369-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOCK",
        "first_name": "REBECCA",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "30062747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPHT",
            "identifier": "30062747",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "444894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WEITZMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yonatan Reuven
• Conrad S Revak, MD
• Eric Michael Reville, MD
• Mary Reville
• Miranda Louise Revis, ATS
• Bernadette M Revta, CNS
• Reward Healthcare LLC
• Reza Reyaldeen, MD
• Vanilda Rebeca Reyes de Noyes, MSW
• Lissette Reyes-Santiago, TO

• Pharmacy Technician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.