Individual provider Active NPI

Rebecca Jean Designor, PHARM. D.

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1285031724
Registry record updated Nov 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP449295 Issued in PA
Practice address
3601 Midvale Ave
Philadelphia, PA 19129-1712
Phone
(215) 842-2950
NPI assigned
Nov 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP449295 PA Primary

Addresses

Primary practice location

3601 Midvale Ave
Philadelphia, PA 19129-1712

Mailing address

280 Meyer Rd
Nazareth, PA 18064-9438
Phone (610) 905-8110

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
RP449295PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417046400000",
    "number": "1285031724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MEYER RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649438",
            "telephone_number": "610-905-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MIDVALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291712",
            "telephone_number": "215-842-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIGNOR",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.