Active NPI
Dale A Reber, R. PH.
- Pharmacist
- Pueblo, CO
National Provider Identifier
1508198722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13121
- Practice address
- 3415 N Elizabeth St
Pueblo, CO 81008-1156 - Phone
- (719) 545-0707
- Fax
- (719) 546-3972
- NPI assigned
- Feb 12, 2010
- Last updated
- Feb 12, 2010
- Sex
- Male
- 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 | 13121 | CO | Primary |
| Pharmacist | 183500000X | S007578 | AZ |
Addresses
Primary practice location
3415 N Elizabeth St
Pueblo, CO 81008-1156
Mailing address
3415 N Elizabeth St
Pueblo, CO 81008-1156
Phone (719) 545-0707
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 |
|---|---|---|---|
| S007578 | AZ | MD | Pharmacist |
| 13121 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1508198722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 N ELIZABETH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081156",
"telephone_number": "719-545-0707",
"fax_number": "719-546-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 N ELIZABETH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081156",
"telephone_number": "719-545-0707",
"fax_number": "719-546-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBER",
"first_name": "DALE",
"middle_name": "A",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13121",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S007578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.