Regina K Blevins, PHARM-D, RPH
Individual provider Active NPI Pharmacist · Poplar, MT
NPI 1992979298 · NPPES record last updated Apr 17, 2008
Key facts
- NPI
- 1992979298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5926 (MT)
- Practice address
- 107 H Street E
Poplar, MT 59255 - Phone
- (406) 768-3491
- Fax
- (406) 768-3299
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5926 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5926 | MT | Yes |
Addresses
Primary practice location
107 H Street E
Poplar, MT 59255
Mailing address
107 H Street E
Poplar, MT 59255
Phone (406) 768-3491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5926 | Other | MT | PHARMACIST |
Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.