Active NPI
Rebecca Rose Axtell
- Pharmacy Technician
- Nampa, ID
National Provider Identifier
1891534020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CT70342
- Practice address
- 700 12TH Ave S
Nampa, ID 83651-4255 - Phone
- (208) 467-1560
- NPI assigned
- May 20, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CT70342 | ID | Primary |
Addresses
Primary practice location
700 12TH Ave S
Nampa, ID 83651-4255
Mailing address
700 12TH Ave S
Nampa, ID 83651-4255
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
| License | State | Type | Specialty |
|---|---|---|---|
| CT70342 | ID | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1891534020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514255",
"telephone_number": "208-467-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXTELL",
"first_name": "REBECCA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ID",
"license": "CT70342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.