Rebecca Ann Henning, RPH
Individual provider Active NPI Pharmacist · Mount Carmel, IL
NPI 1689701468 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689701468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 6 Skiles Dr
Mount Carmel, IL 62863-2816 - Phone
- (618) 262-4992
- Fax
- (618) 263-3283
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051030014 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
6 Skiles Dr
Mount Carmel, IL 62863-2816
Mailing address
6 Skiles Dr
Mount Carmel, IL 62863-2816
Phone (618) 262-4992
Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.