Therese I Remblake, BS PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

1277 Issued in AZ

Practice address

23425 N 39TH Dr
25239 N 40TH LN
Glendale, AZ 85310-4199

Phone

(623) 869-6507

Fax

(623) 869-6609

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215078282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23425 N 39TH DR",
            "address_2": "25239 N 40TH LANE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104199",
            "telephone_number": "623-869-6507",
            "fax_number": "623-869-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 N 39TH DR",
            "address_2": "25239 N 40TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104199",
            "telephone_number": "623-869-6507",
            "fax_number": "623-869-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBLAKE",
        "first_name": "THERESE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "BS PHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rel Distributing Inc.
• Bruce Relf
• Cindy Relford
• Relief Behavioral Health LLC
• Relivagain4Lyf LLC
• Rachel Remund, PA-C
• Renaissance Center for Sleep and TMJ Disorders LLC
• Renal Care Group Arizona, LLC
• Renew Medical Center, LLC
• Renew Sleep Solutions, Inc.

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• 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.