Individual provider Active NPI

Rebekah Elizabeth Gebhards, PHARM.D

  • Pharmacist
  • Tarkio, MO
National Provider Identifier
1861405482
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2004033682 Issued in MO
Practice address
411 Main St
Tarkio, MO 64491-1544
Phone
(660) 736-5512
Fax
(660) 736-4361
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12030 NE
Pharmacist 183500000X 2004033682 MO Primary

Addresses

Primary practice location

411 Main St
Tarkio, MO 64491-1544

Mailing address

20075 State Highway Y
Rock Port, MO 64482-7121
Phone (660) 744-2161

Other identifiers 3

IdentifierTypeStateIssuer
12030OtherNEPHARMACIST LISCENSE
2004033682OtherMOPHARMACIST LISCENSE
20138OtherIAPHARMACY BOARD

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
2004033682MOMDPharmacist
12030NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1861405482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20075 STATE HIGHWAY Y",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644827121",
            "telephone_number": "660-744-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "TARKIO",
            "state": "MO",
            "postal_code": "644911544",
            "telephone_number": "660-736-5512",
            "fax_number": "660-736-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDS",
        "first_name": "REBEKAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12030",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2004033682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISCENSE",
            "identifier": "12030",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISCENSE",
            "identifier": "2004033682",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BOARD",
            "identifier": "20138",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarkio, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.