Individual provider Active NPI

Rebekah Marie Dant, PHARMD

  • Pharmacist
  • Issaquah, WA
National Provider Identifier
1770819146
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00061389 Issued in WA
Practice address
999 Lake Dr
Issaquah, WA 98027-8990
Phone
(425) 416-5577
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00061389 WA Primary
Pharmacist 183500000X 55651 CA
Pharmacist 183500000X RPH-0011678 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11678 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 15869 WI
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 55651 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 61389 WA

Addresses

Primary practice location

999 Lake Dr
Issaquah, WA 98027-8990

Mailing address

999 Lake Dr
Issaquah, WA 98027-8990
Phone (425) 416-5577

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
RPH-0011678ORMDPharmacist
PH00061389WAMDPharmacist
55651CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11678ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
61389WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
15869WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1770819146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 LAKE DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278990",
            "telephone_number": "425-416-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 LAKE DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278990",
            "telephone_number": "425-416-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANT",
        "first_name": "REBEKAH",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00061389",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55651",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011678",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "11678",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "15869",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "55651",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "61389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.