Active NPI
Bonny Reinhardt, PHARMD
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1033715859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42557
- Practice address
- 11900 McCormick Rd
Jacksonville, FL 32225-1839 - Phone
- (904) 642-7460
- NPI assigned
- Dec 7, 2020
- Last updated
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PS42557 | FL | Primary |
Addresses
Primary practice location
11900 McCormick Rd
Jacksonville, FL 32225-1839
Mailing address
11900 McCormick Rd
Jacksonville, FL 32225-1839
Phone (904) 642-7460
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 |
|---|---|---|---|
| PS42557 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Current | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Locations
11900 McCormick Rd
Jacksonville, FL 32225
Phone (904) 642-7460
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1033715859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 MCCORMICK RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322251839",
"telephone_number": "904-642-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 MCCORMICK RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322251839",
"telephone_number": "904-642-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARDT",
"first_name": "BONNY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.