Individual provider Active NPI

Rebecca Mae Rose Blenkner, PHARMD

  • Pharmacist
  • Hardin, MT
National Provider Identifier
1831805902
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-PHA-LIC-92119 Issued in MT
Practice address
10 4TH St W Ste B
Hardin, MT 59034-1804
Phone
(406) 867-4141
Fax
(406) 294-0040
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

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
PHA-PHA-LIC-92119MTMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-92119 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

10 4TH St W Ste B
Hardin, MT 59034-1804

Mailing address

10 4TH St W Ste B
Hardin, MT 59034-1804
Phone (406) 867-4141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2023.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1831805902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 4TH ST W STE B",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341804",
            "telephone_number": "406-867-4141",
            "fax_number": "406-294-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 4TH ST W STE B",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341804",
            "telephone_number": "406-867-4141",
            "fax_number": "406-294-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENKNER",
        "first_name": "REBECCA",
        "middle_name": "MAE ROSE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-92119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardin, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.