Mandy Denise Rebstock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12858 Issued in AR

Practice address

648 E Main St
Piggott, AR 72454-2907

Phone

(870) 598-3183

Fax

(870) 598-3183

NPI assigned

Dec 29, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Piggott Pharmacy LLC

  dba Piggott Pharmacy

  • Community/Retail Pharmacy
  • Piggott, AR
  • NPI 1417481300
  NPD
• Piggott Pharmacy LLC

  • Long Term Care Pharmacy
  • Piggott, AR
  • NPI 1467226670
  NPD
• Semo Drug of Kennett

  • Pharmacy
  • Kennett, MO
  • NPI 1053514356
  NPD
• Semo Drugs of Kennett Inc

  dba Semo Drugs of Kennett

  • Community/Retail Pharmacy
  • Kennett, MO
  • NPI 1548349715
  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1346837960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542907",
            "telephone_number": "870-598-3183",
            "fax_number": "870-598-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542907",
            "telephone_number": "870-598-3183",
            "fax_number": "870-598-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBSTOCK",
        "first_name": "MANDY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Medical Clinics PLLC (Pioneer Medical Clinics)
• Progressive Eye Center of Piggott LLC
• Megan Rathel, CNP
• Caroline Ray
• Whitley Reagans
• Donna F Ring, R.PH.
• Seal's Pharmacy
• Selah Health
• James G Sheridan, M.D.
• Richard Paul Slayton, MHPP

• Pharmacist in Piggott, AR
• Providers in Piggott, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.