Rebekah Jane Pruitt, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD08855 Issued in AR

Practice address

2003 W Center St
Beebe, AR 72012-2544

Phone

(501) 882-1516

NPI assigned

Oct 26, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Beebe, AR
  • NPI 1669816146
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1245830686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 DUGGER RD",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720123817",
            "telephone_number": "501-940-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W CENTER ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122544",
            "telephone_number": "501-882-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "REBEKAH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE BOARD OF PHARMACY",
            "identifier": "PD08855",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Pillow, PA-C
• Kristy Dawn Poe, MS, CCCSLP
• Rachel Powell, M.S., CF-SLP
• Progressive Pediatrics - Beebe, Inc
• Progressive Pediatrics L.L.C.
• Laeryn Nicole Ragsdale
• Kendra Rainey, RN
• Kristal Reed
• Thomas Dale Ritchie Jr., LPC
• Shannon Michele Roach, PHARMD

• All providers in Beebe, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.