DR. GERALD REBO (NPI# 1215353263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215353263 |
| Entity Type | Individual |
| Full Name | DR. GERALD REBO |
| Credential | PHARMD, BCPS, CCP |
| Practice Address |
Wake Forest Baptist Health Dept of Pharmacy Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 3367164906 |
| Mailing Telephone | 3367164906 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15852 | NC | Pharmacy Service Providers |
| Street Address |
WAKE FOREST BAPTIST HEALTH DEPT OF PHARMACY MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262357 | Kristin Anne Wall | Pharmacist | Wake Forest Baptist Health Dept of Pharmacy, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
| 1306262357 | Kristin Anne Wall | Pharmacist | Wake Forest Baptist Health Dept of Pharmacy, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-14 |
| 1669897088 | William Chirstopher Council Jr. | Pharmacist | 1215a W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2014-02-21 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1407009780 | Stanleyville Family Pharmacy | Pharmacist | 6143 University Parkway, Winston Salem, NC 27105 | 2008-10-30 |
| 1083270920 | Elisabeth Louise Caulder | Pharmacist | 300 Medical Center Blvd, Winston Salem, NC 27157-0003 | 2019-05-16 |
| 1538653308 | Andrew Gordon Wright | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-15 |
| 1871003129 | Jinyao Eileen Chen | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-10-01 |
| 1528577996 | Teresa Ann Cicci | Pharmacist | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2017-09-28 |
| 1346767522 | Caitlin M Moorman Spangler | Pharmacist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2017-08-28 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on DR. GERALD REBO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.