Individual provider Active NPI

Katrina Rehak, PHARMD

  • Pharmacist
  • Williston, ND
National Provider Identifier
1679208862
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH6071 Issued in ND
Practice address
300 11TH St W
Williston, ND 58801-5159
Phone
(701) 774-3923
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH6071 ND Primary

Addresses

Primary practice location

300 11TH St W
Williston, ND 58801-5159

Mailing address

10365 69TH St NW
Tioga, ND 58852-9404
Phone (701) 641-8157

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop

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

LicenseStateTypeSpecialty
RPH6071NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Co of Jamestown Inc PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679208862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 69TH ST NW",
            "city": "TIOGA",
            "state": "ND",
            "postal_code": "588529404",
            "telephone_number": "701-641-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 11TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015159",
            "telephone_number": "701-774-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHAK",
        "first_name": "KATRINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "300 11th St W",
            "city": "Williston",
            "state": "ND",
            "country_code": "US",
            "postal_code": "588015159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.