Active NPI
Adam C Reeners, PHARM.D.
- Pharmacist
- Cortland, NY
National Provider Identifier
1033394119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050763
- Practice address
- 1067 State Route 222
Cortland, NY 13045-9306 - Phone
- (607) 753-3029
- Fax
- (607) 753-0799
- NPI assigned
- Jan 8, 2008
- Last updated
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050763 | NY | Primary |
Addresses
Primary practice location
1067 State Route 222
Cortland, NY 13045-9306
Mailing address
100 Port Watson St Apt 2
Cortland, NY 13045-3047
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050763 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 10738
- Community/Retail Pharmacy
- Cortland, NY
- NPI 1043319387
-
dba Rite Aid Pharmacy 11268
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1033394119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PORT WATSON ST APT 2",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 STATE ROUTE 222",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130459306",
"telephone_number": "607-753-3029",
"fax_number": "607-753-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REENERS",
"first_name": "ADAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.