Individual provider Active NPI

Carina Lee Reichardt, RPH

  • Pharmacist
  • Batavia, IL
National Provider Identifier
1043504996
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.037425 Issued in IL
Practice address
115 N Randall Rd
T-0839
Batavia, IL 60510-9209
Phone
(630) 406-5904
Fax
(630) 406-5904
NPI assigned
Jun 7, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.037425 IL Primary

Addresses

Primary practice location

115 N Randall Rd
T-0839
Batavia, IL 60510-9209

Mailing address

115 N Randall Rd
T-0839
Batavia, IL 60510-9209
Phone (630) 406-5904

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.037425ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1043504996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N RANDALL RD",
            "address_2": "T-0839",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109209",
            "telephone_number": "630-406-5904",
            "fax_number": "630-406-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N RANDALL RD",
            "address_2": "T-0839",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109209",
            "telephone_number": "630-406-5904",
            "fax_number": "630-406-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARDT",
        "first_name": "CARINA",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.037425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.