Individual provider Active NPI

Diane Rene Trebing, PHARM.D

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1194242578
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2009020959 Issued in MO
Practice address
8931 Springdale Ave Ste a
Saint Louis, MO 63134-2400
Phone
(844) 810-8943
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2009020959 MO Primary

Addresses

Primary practice location

8931 Springdale Ave Ste a
Saint Louis, MO 63134-2400

Mailing address

4700 N Hanley Rd Ste a
Saint Louis, MO 63134-2700
Phone (844) 810-8943

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
2009020959MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Scripts Specialty Dist SVCS Past Accepting new patients
Express Scripts Specialty Distribution Services, Inc. Past Accepting new patients
Express Scripts Specialty Distribution Services, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1194242578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HANLEY RD STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342700",
            "telephone_number": "844-810-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 SPRINGDALE AVE STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342400",
            "telephone_number": "844-810-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBING",
        "first_name": "DIANE",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009020959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.