Individual provider Active NPI

Michael M Rebol, R.PH.

  • Pharmacist
  • Mayfield Heights, OH
National Provider Identifier
1861732505
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03213983 Issued in OH
Practice address
6780 Mayfield Rd
Attn: Hospital Pharmacy
Mayfield Heights, OH 44124-2203
Phone
(440) 312-4350
NPI assigned
Feb 16, 2013
Last updated
Feb 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03213983 OH Primary

Addresses

Primary practice location

6780 Mayfield Rd
Attn: Hospital Pharmacy
Mayfield Heights, OH 44124-2203

Mailing address

7209 Hayes Blvd
Mentor, OH 44060-4712
Phone (440) 951-6292

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03213983OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1861732505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 HAYES BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604712",
            "telephone_number": "440-951-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 MAYFIELD RD",
            "address_2": "ATTN: HOSPITAL PHARMACY",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242203",
            "telephone_number": "440-312-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOL",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03213983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.