Individual provider Active NPI

Bonnie Rose Rebish

  • Pharmacist
  • Dillon, MT
National Provider Identifier
1285034306
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3468 Issued in MT
Practice address
110 Southside Blvd
Dillon, MT 59725-3536
Phone
(406) 988-7121
Fax
(406) 683-3540
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 3468 MT Primary

Addresses

Primary practice location

110 Southside Blvd
Dillon, MT 59725-3536

Mailing address

320 Ten Peaks Dr
Dillon, MT 59725-2961
Phone (406) 490-3126

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

State licenses

LicenseStateTypeSpecialty
3468MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Pharmacy Anaconda Inc Current Accepting new patients
Vans Iga of Dillon Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1285034306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TEN PEAKS DR",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252961",
            "telephone_number": "406-490-3126",
            "fax_number": "406-683-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTHSIDE BLVD",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253536",
            "telephone_number": "406-988-7121",
            "fax_number": "406-683-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBISH",
        "first_name": "BONNIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

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