Reginald Bebri

Primary specialty

PharmacyTaxonomy code 333600000X

License

5302413720 Issued in MI

Practice address

1950 W Centre Ave
Portage, MI 49024-5334

Phone

(269) 321-0664

NPI assigned

Sep 13, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04239

  • Community/Retail Pharmacy
  • Coloma, MI
  • NPI 1205859923
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba RITE AID Pharmacy 01822

  • Community/Retail Pharmacy
  • Portage, MI
  • NPI 1619987419
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1316616287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PATRICIA PLACE DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853828",
            "telephone_number": "734-776-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245334",
            "telephone_number": "269-321-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 Paw Paw Ave",
            "address_purpose": "LOCATION",
            "city": "Coloma",
            "state": "MI",
            "postal_code": "490388805",
            "country_code": "US",
            "telephone_number": "269-468-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBRI",
        "first_name": "REGINALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5302413720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Medical Group Michigan Inc
• Beacon Pointe
• Stefanie Beattie, MS, BCBA
• Christy Marie Beaudrie
• Katelyn Beauvais
• Nancy J Beckman, P.A.
• Cassandra Bednar, PT
• Natalie M Behrle, MD
• Heather Belanger
• Katherine Bell, LMSW, IMH-E (III)

• Pharmacy in Portage, MI
• Providers in Portage, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.