Individual provider Active NPI

Dane Pebler, PHARMD

  • Pharmacist
  • Sun Lakes, AZ
National Provider Identifier
1891143293
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S021942 Issued in AZ
Practice address
10324 E Riggs Rd
Sun Lakes, AZ 85248-7625
Phone
(480) 895-0761
NPI assigned
May 26, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S021942 AZ Primary

Addresses

Primary practice location

10324 E Riggs Rd
Sun Lakes, AZ 85248-7625

Mailing address

1246 E Pebble Beach Dr
Tempe, AZ 85282-5576
Phone (480) 331-0477

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
S021942AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1891143293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 E PEBBLE BEACH DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825576",
            "telephone_number": "480-331-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 E RIGGS RD",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487625",
            "telephone_number": "480-895-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBLER",
        "first_name": "DANE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.