REBEL DISTRIBUTORS NPI 1366657488

NPI Information

NPI: 1366657488
Provider Name: REBEL DISTRIBUTORS

Doing Business As: PHYSICIAN PARTNER/PHARMACY PARTNER

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
3607 OLD CONEJO RD
THOUSAND OAKS, CA
ZIP 91320
Phone: (805) 214-0900
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REBEL DISTRIBUTORS is a non pharmacy dispensing site in Thousand Oaks, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) REBEL DISTRIBUTORS NPI is 1366657488. The provider is registered as an organization entity type.
The provider Is Doing Business As Physician Partner/pharmacy Partner.

The provider's business location address is:

3607 OLD CONEJO RD
THOUSAND OAKS, CA
ZIP 91320-123
Phone: (805) 214-0900
Fax: (805) 214-0950

The provider's authorized official is Destry Setser .
The authorized official title is Ceo/owner and has the following contact phone number (877) 732-3579.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 2/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		WLS3004	CALIFORNIA	No
2	332900000X	Non-Pharmacy Dispensing Site		WLS3004	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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