DR. IAN REBENOCK (NPI# 1699387803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699387803 |
| Entity Type | Individual |
| Full Name | DR. IAN REBENOCK |
| Credential | PHARMD |
| Practice Address |
2770 W Broad St Columbus OH 43204-2641 |
| Practice Telephone | 6142769745 |
| Mailing Telephone | 6142769745 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03440125 | OH | Pharmacy Service Providers |
| Street Address |
2770 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316952344 | Walgreen Co | Pharmacy | 2770 W Broad St, Columbus, OH 43204-2641 | 2006-07-29 |
| 1154934917 | Conor Michael Pardo | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2020-08-31 |
| 1942825013 | Ha Neul Lee | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2020-06-14 |
| 1487902250 | Bradley M Sherman | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2012-08-27 |
| 1023391117 | Rhonda Slyh | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2011-09-24 |
| 1285916874 | Robert J Hemrick | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2011-09-09 |
| 1679855233 | Anna Weaver | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2011-09-09 |
| 1699056283 | Leslie Moriah Burdett | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2011-09-08 |
| 1336324649 | Michael Hunter | Pharmacist | 2770 W Broad St, Columbus, OH 43204-2641 | 2008-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1225663602 | Farzaneh Gyurcsik | Pharmacist | 2826 Doncaster Rd, Columbus, OH 43221-3034 | 2020-03-06 |
| 1396386421 | Erin Petersen | Pharmacist | 3535 Olentangy River Rd Ste Y1322, Columbus, OH 43214-3908 | 2019-09-30 |
| 1659927945 | Nicholas D Keller | Pharmacist | 181 Taylor Ave Ste Tg135, Columbus, OH 43203-1779 | 2019-08-13 |
| 1942854005 | Eric Obeng | Pharmacist | 2575 S Hamilton Rd, Columbus, OH 43232-4964 | 2019-07-27 |
| 1518421015 | Andrew Carlisle Milner | Pharmacist | 5445 N. High St, Columbus, OH 43214-1129 | 2019-01-29 |
| 1598247371 | Alyssa Marie Gaietto | Pharmacist | 460 W 10th Ave Rm C150d, Columbus, OH 43210-1240 | 2018-08-29 |
| 1851879209 | Lauren R. Vergara | Pharmacist | 410 W 10th Avenue, 368 Doan Hall, Columbus, OH 43215-2447 | 2018-07-29 |
| 1992282081 | Ali Mohamed | Pharmacist | 3949 Hoffman Valley Dr, Columbus, OH 43219-8111 | 2018-07-23 |
| 1417433467 | Jon Theodore Mcclymont | Pharmacist | 1599 Alum Creek Dr, Columbus, OH 43209-2596 | 2018-07-12 |
| Find all providers in COLUMBUS | ||||
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| 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.