Active NPI
Rebecca Deboodt, PHARMD
- Pharmacist
- Loveland, CO
National Provider Identifier
1215463179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17366
- Practice address
- 1250 N Wilson Ave
Loveland, CO 80537-4461 - Phone
- (970) 667-1362
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 183500000X | 17366 | CO | Primary |
Addresses
Primary practice location
1250 N Wilson Ave
Loveland, CO 80537-4461
Mailing address
6144 Clearwater Dr
Loveland, CO 80538-7043
Phone (970) 776-9380
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 |
|---|---|---|---|
| 17366 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1215463179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6144 CLEARWATER DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387043",
"telephone_number": "970-776-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 N WILSON AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374461",
"telephone_number": "970-667-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOODT",
"first_name": "REBECCA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
- Dawson Chiropractic Corporation (Dawson Chiropractic and Wellness Center)
- Aspen Brunk Dawson, DC
- Jerod T Dawson, DC
- Evan De la Cruz
- Taylor De la Houssaye, ,BA
- Kay Dechairo, M.A.
- Nancy J Decook, FNPC
- Deep Waters Psychiatry & Wellness PLLC
- Lisa Michelle Defelippo, LPN
- Aubreena Deforest, LPCC, CRC, WIP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.