Individual provider Active NPI

Reba V Dellior, RPH

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1053563312
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP045119L Issued in PA
Practice address
2910 S 70TH St
Blue Bell Shopping Center
Philadelphia, PA 19142-2502
Phone
(215) 365-3400
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP045119L PA Primary
Pharmacist 183500000X A1-0003132 DE

Addresses

Primary practice location

2910 S 70TH St
Blue Bell Shopping Center
Philadelphia, PA 19142-2502

Mailing address

2910 S 70TH St
Blue Bell Shopping Center
Philadelphia, PA 19142-2502
Phone (215) 365-3400

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
A1-0003132DEMDPharmacist
RP045119LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1053563312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S 70TH ST",
            "address_2": "BLUE BELL SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422502",
            "telephone_number": "215-365-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S 70TH ST",
            "address_2": "BLUE BELL SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422502",
            "telephone_number": "215-365-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLIOR",
        "first_name": "REBA",
        "middle_name": "V",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045119L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.