Active NPI
Nicholas Ryan Rehberg, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clifton Park, NY
National Provider Identifier
1194453498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 068970
- Practice address
- 839 Route 146
Clifton Park, NY 12065-3861 - Phone
- (518) 858-3080
- NPI assigned
- Aug 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 068970 | NY | Primary |
Addresses
Primary practice location
839 Route 146
Clifton Park, NY 12065-3861
Mailing address
3504 State Route 145
Schoharie, NY 12157-3020
Phone (518) 858-3080
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 |
|---|---|---|---|
| 068970 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660348800000",
"number": "1194453498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 STATE ROUTE 145",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121573020",
"telephone_number": "518-858-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653861",
"telephone_number": "518-858-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHBERG",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-13",
"last_updated": "2022-08-13",
"certification_date": "2022-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "068970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.