Active NPI
Rebecca R Quackenbush Solis, PHARMD
- Pharmacist
- Lafayette, IN
National Provider Identifier
1508407693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019601A
- Practice address
- 2250 Teal Rd
Lafayette, IN 47905-2218 - Phone
- (765) 637-7456
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019601A | IN | Primary |
Addresses
Primary practice location
2250 Teal Rd
Lafayette, IN 47905-2218
Mailing address
6059 Fergusson Dr
West Lafayette, IN 47906-8698
Phone (765) 479-2301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26019601A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1508407693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6059 FERGUSSON DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479068698",
"telephone_number": "765-479-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 TEAL RD",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052218",
"telephone_number": "765-637-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACKENBUSH SOLIS",
"first_name": "REBECCA",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019601A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.