Active NPI
Breeann Rainbolt
- Pharmacy Technician
- New Albany, IN
National Provider Identifier
1932585510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67021753A
- Practice address
- 1850 State St
New Albany, IN 47150-4990 - Phone
- (812) 948-7404
- Fax
- (812) 949-5479
- NPI assigned
- Aug 5, 2015
- Last updated
- Aug 5, 2015
- Sex
- Female
- 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 | 67021753A | IN | Primary |
Addresses
Primary practice location
1850 State St
New Albany, IN 47150-4990
Mailing address
1850 State St
New Albany, IN 47150-4990
Phone (812) 948-7404
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 |
|---|---|---|---|
| 67021753A | IN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1932585510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504990",
"telephone_number": "812-948-7404",
"fax_number": "812-949-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504990",
"telephone_number": "812-948-7404",
"fax_number": "812-949-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINBOLT",
"first_name": "BREEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67021753A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.