Individual provider Active NPI

Rebecca Denise Mestas, PHARMD

  • Pharmacist
  • Anchorage, AK
National Provider Identifier
1194949834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1612 Issued in AK
Practice address
3101 Penland Pkwy
Suite J-11
Anchorage, AK 99508-1906
Phone
(907) 279-8055
Fax
(907) 334-8587
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1612 AK Primary
Pharmacist 183500000X 16711 MD

Addresses

Primary practice location

3101 Penland Pkwy
Suite J-11
Anchorage, AK 99508-1906

Mailing address

3438 Starboard LN
Anchorage, AK 99516-7617
Phone (907) 770-7515

Other names 1

  • Dr. Rebecca Denise Hall Former name

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
16711MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194949834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 STARBOARD LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995167617",
            "telephone_number": "907-770-7515",
            "fax_number": "907-334-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PENLAND PKWY",
            "address_2": "SUITE J-11",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081906",
            "telephone_number": "907-279-8055",
            "fax_number": "907-334-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTAS",
        "first_name": "REBECCA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1612",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HALL",
            "middle_name": "DENISE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.