Active NPI
Johnny Reyes
- Pharmacist
- Whittier, CA
National Provider Identifier
1124323134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51581
- Practice address
- 11750 Whittier Blvd
Whittier, CA 90601-3938 - Phone
- (562) 496-3748
- NPI assigned
- Jan 21, 2011
- Last updated
- Feb 9, 2021
- Sex
- Male
- 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 | 51581 | CA | Primary |
Addresses
Primary practice location
11750 Whittier Blvd
Whittier, CA 90601-3938
Mailing address
PO Box 92661
Long Beach, CA 90809-2661
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51581 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1124323134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92661",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908092661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013938",
"telephone_number": "562-496-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOHNNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2021-02-09",
"certification_date": "2021-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.