Individual provider Active NPI

Rebecca Louise Whatley, PH. TECH.

  • Pharmacy Technician
  • Altus, OK
National Provider Identifier
1285666115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T-2189 Issued in OK
Practice address
205 S Park LN Ste 110
Altus, OK 73521-5733
Phone
(580) 482-6464
Fax
(580) 480-3114
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T-2189 OK Primary

Addresses

Primary practice location

205 S Park LN Ste 110
Altus, OK 73521-5733

Mailing address

14042 N County Road 1880
Mangum, OK 73554-3217
Phone (580) 679-3734

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
T-2189OKMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Picketts Clinic Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285666115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14042 N COUNTY ROAD 1880",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735543217",
            "telephone_number": "580-679-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PARK LN STE 110",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215733",
            "telephone_number": "580-482-6464",
            "fax_number": "580-480-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PH. TECH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "T-2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.