Rebecca Bitter, PHARMD.
Individual provider Active NPI Pharmacist · Ammon, ID
NPI 1295855674 · NPPES record last updated Jul 15, 2015
Key facts
- NPI
- 1295855674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P7303 (ID)
- Practice address
- 1201 S 25TH E
Pharmacy
Ammon, ID 83406-5729 - Phone
- (715) 490-2612
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7303 | ID | MD | Pharmacist |
| 050968 | NY | MD | Pharmacist |
| 49989861701 | UT | MD | Pharmacist |
| 16276040-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050968 | NY | |
| Pharmacist | 183500000X | 49989861701 | UT | |
| Pharmacist | 183500000X | 16276040-40 | WI | |
| Pharmacist | 183500000X | P7303 | ID | Yes |
Addresses
Primary practice location
1201 S 25TH E
Pharmacy
Ammon, ID 83406-5729
Mailing address
1201 South 25TH Street
Pharmacy
Ammon, ID 83406
Phone (715) 490-2612
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.