Active NPI
Rebecca Coulson
- Pharmacy Technician
- Kingman, AZ
National Provider Identifier
1407448343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T032111
- Practice address
- 2845 N Alpha St
Kingman, AZ 86401-5352 - Phone
- (562) 253-4468
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T032111 | AZ | Primary |
Addresses
Primary practice location
2845 N Alpha St
Kingman, AZ 86401-5352
Mailing address
2845 N Alpha St
Kingman, AZ 86401-5352
Phone (562) 253-4468
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcoulson@azkrmc.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T032111 | AZ | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1407448343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 N ALPHA ST",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015352",
"telephone_number": "562-253-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 N ALPHA ST",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015352",
"telephone_number": "562-253-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULSON",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AZ",
"license": "T032111",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcoulson@azkrmc.com",
"affiliation": "N",
"address_1": "3269 N Stockton Hill Rd",
"city": "Kingman",
"state": "AZ",
"country_code": "US",
"postal_code": "864093619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.