Active NPI
Rebecca Sue Meadows, R.PH.
- Pharmacist
- Dallas, TX
National Provider Identifier
1336485721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36808
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (214) 857-0556
- NPI assigned
- Dec 12, 2012
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36808 | TX | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 36808 | TX |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone (214) 857-0556
Other practice location 1
5447 W University Blvd
Dallas, TX 75209-5015
Phone (214) 650-6999
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36808 | TX | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1336485721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0556"
}
],
"practiceLocations": [
{
"address_1": "5447 W University Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752095015",
"country_code": "US",
"telephone_number": "214-650-6999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36808",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "36808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.