Individual provider Active NPI

Bertina L Repass, CPHT

  • Pharmacy Technician
  • Orlando, FL
National Provider Identifier
1437261807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
200113010569854 Issued in FL
Practice address
4686 E Michigan St
Orlando, FL 32812-5234
Phone
(407) 277-1912
Fax
(407) 277-2026
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 200113010569854 FL Primary

Addresses

Primary practice location

4686 E Michigan St
Orlando, FL 32812-5234

Mailing address

4784 E Michigan St Apt 16
Orlando, FL 32812-5249
Phone (407) 658-1490

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

LicenseStateTypeSpecialty
200113010569854FLMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437261807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 E MICHIGAN ST APT 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125249",
            "telephone_number": "407-658-1490",
            "fax_number": "407-277-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125234",
            "telephone_number": "407-277-1912",
            "fax_number": "407-277-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASS",
        "first_name": "BERTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "200113010569854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.