Gerald Rebo, PHARMD, BCPS, CCP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

15852 Issued in NC

Practice address

Wake Forest Baptist Health Dept of Pharmacy
Medical Center Blvd
Winston Salem, NC 27157-0001

Phone

(336) 716-4906

NPI assigned

Mar 14, 2014

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1215353263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH DEPT OF PHARMACY",
            "address_2": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH DEPT OF PHARMACY",
            "address_2": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBO",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "15852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Michele Reasor, NCC, LPCA
• Margurite Reaves, LCSWA
• Anna Marie Reavis, LCMHC-A
• Jerry Ray Reavis, DC
• Rebecca S. Valla, MD
• Kristin Anne Rebo, PHARMD, CPP
• Jessica Marie Rebollar, PA-C
• Lindsey Rebollar
• Danielle Caruso Rebowe
• Joan Mary Recher, AGACNP-BC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.