Active NPI
Bethany W. Ibach, PHARM.D.
- Pharmacist
- Abilene, TX
National Provider Identifier
1760728620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55637
- Practice address
- 1718 Pine St
Abilene, TX 79601-3044 - Phone
- (325) 696-0438
- NPI assigned
- Dec 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15213 | OK | |
| Pharmacist | 183500000X | 55637 | TX | Primary |
Addresses
Primary practice location
1718 Pine St
Abilene, TX 79601-3044
Mailing address
1718 Pine St
Abilene, TX 79601-3044
Phone (325) 696-0438
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 |
|---|---|---|---|
| 55637 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 15213 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425081600000",
"number": "1760728620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013044",
"telephone_number": "325-696-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013044",
"telephone_number": "325-696-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBACH",
"first_name": "BETHANY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2015-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15213",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.