NPIMap

Organization Active NPI

Reidt Pharmacy Corperation

  • Community/Retail Pharmacy
  • Spokane, WA
National Provider Identifier
1104838572
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00058331 Issued in WA
Legal business name
REIDT PHARMACY CORPERATION
Doing business as
Hart and Dilatush Pharmacy
Practice address
601 W Riverside Ave
Ste. 140
Spokane, WA 99201-0621
Phone
(509) 624-2111
Fax
(509) 624-9500
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mr. Daniel J Reidt, PHARM.D.NPI 1922259936
Title
Owner/Pharmacist
Phone
(509) 624-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00058331 WA Primary

Addresses

Primary practice location

601 W Riverside Ave
Ste. 140
Spokane, WA 99201-0621

Mailing address

601 W Riverside Ave
Ste. 140
Spokane, WA 99201-0621
Phone (509) 624-2111

Other identifiers 1

IdentifierTypeStateIssuer
6028559MedicaidWA

Other names 1

  • Hart and Dilatush Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035045 WA DME Supplier - Pharmacy 7315148400 Practice locations: Spokane, WA
O20140219000953 WA Part B Supplier - Mass Immunization (Roster Biller Only) 7315148400 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Tax ID family
Reidt Pharmacy Corperation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1104838572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE AVE",
            "address_2": "STE. 140",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010621",
            "telephone_number": "509-624-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE AVE",
            "address_2": "STE. 140",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010621",
            "telephone_number": "509-624-2111",
            "fax_number": "509-624-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDT PHARMACY CORPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "REIDT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "509-624-2111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00058331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6028559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart and Dilatush Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hart and Dilatush Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.