Individual provider Active NPI

Rebecca Blackshear Oliver, PHARMD

  • Pharmacist
  • Bessemer, AL
National Provider Identifier
1386263515
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17810 Issued in AL
Practice address
4889 Promenade Pkwy
Bessemer, AL 35022-7305
Phone
(205) 565-3761
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17810 AL Primary

Addresses

Primary practice location

4889 Promenade Pkwy
Bessemer, AL 35022-7305

Mailing address

3972 Bibury LN
Birmingham, AL 35242-7579

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Blackrj@auburn.edu

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17810ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1386263515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BIBURY LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 PROMENADE PKWY",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227305",
            "telephone_number": "205-565-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "REBECCA",
        "middle_name": "BLACKSHEAR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blackrj@auburn.edu",
            "affiliation": "N",
            "address_1": "4889 Promenade Pkwy",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350227305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.