Individual provider Active NPI

Theresa Marie Reiber

  • Pharmacist
  • Hastings, NE
National Provider Identifier
1134719859
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13134 Issued in NE
Practice address
405 E 14TH St
Hastings, NE 68901-3204
Phone
(402) 462-4600
Fax
(402) 462-4605
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13134 NE Primary

Addresses

Primary practice location

405 E 14TH St
Hastings, NE 68901-3204

Mailing address

405 E 14TH St
Hastings, NE 68901-3204
Phone (402) 462-4600

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

LicenseStateTypeSpecialty
13134NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crosier Park Pharmacy LLC CurrentSince Jul 31, 2022 Accepting new patients
Crosier Park Pharmacy LLC PastSince Jan 31, 2021 Accepting new patients

Locations

405 E 14th St
Hastings, NE 68901
Phone (402) 462-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1134719859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E 14TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013204",
            "telephone_number": "402-462-4600",
            "fax_number": "402-462-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E 14TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013204",
            "telephone_number": "402-462-4600",
            "fax_number": "402-462-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.