Jackie R Rehm, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

112723 Issued in MN

Practice address

101 N Main St
Snyder Drug 5008
Park Rapids, MN 56470

Phone

(218) 732-3342

Fax

(218) 732-5053

NPI assigned

Dec 3, 2008

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seip Drug LLC

  dba Seip Prescriptions Shoppe

  • Community/Retail Pharmacy
  • Park Rapids, MN
  • NPI 1104068014
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1659516771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "address_2": "101 E 4TH ST SEIP PRESCRIPTION SHOPPE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-237-5848",
            "fax_number": "218-237-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "address_2": "SNYDER DRUG 5008",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-732-3342",
            "fax_number": "218-732-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHM",
        "first_name": "JACKIE",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Pratt, APRN
• Corinna Prestegard, PT
• Vern John Prochaska, MD
• Alicia Reardon, NDTR
• Bradley A Refsland, MD
• Guy V Reich, DDS
• Michelle Lynn Rice, PTA
• Denise Christine Ristinen, OTR/L
• Seth Roiko, APRN FNP-C
• Charlotte Ann Rollie, F.N.P, CNM

• Pharmacist in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.