Individual provider Active NPI

Lane Bredeson, RPHT

  • Pharmacy Technician
  • Oakes, ND
National Provider Identifier
1881290419
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
RPHT1397 Issued in ND
Practice address
422 Main Ave
Oakes, ND 58474-1637
Phone
(701) 742-3315
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X RPHT1397 ND Primary

Addresses

Primary practice location

422 Main Ave
Oakes, ND 58474-1637

Mailing address

214 Main Ave
Oakes, ND 58474-1150
Phone (701) 742-3315

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

State licenses

LicenseStateTypeSpecialty
RPHT1397NDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1881290419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN AVE",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741150",
            "telephone_number": "701-742-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN AVE",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741637",
            "telephone_number": "701-742-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDESON",
        "first_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "RPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "ND",
            "license": "RPHT1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakes, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.