Rebecca J Pickler

Primary specialty

PharmacistTaxonomy code 183500000X

License

120693 Issued in MN

Practice address

11189 16TH St NE
Saint Michael, MN 55376-4218

Phone

(320) 493-9934

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1336418268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11189 16TH ST NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764218",
            "telephone_number": "320-493-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11189 16TH ST NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764218",
            "telephone_number": "320-493-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.