Active NPI
Mark S Reinhard, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Alum Creek, WV
National Provider Identifier
1154767648
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Dec 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP0007418
- Practice address
- 762 Little Coal River Rd
Alum Creek, WV 25003-9262 - Phone
- (304) 756-2160
- Fax
- (304) 756-1262
- NPI assigned
- May 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP0007418 | WV | Primary |
Addresses
Primary practice location
762 Little Coal River Rd
Alum Creek, WV 25003-9262
Mailing address
5013 Bennington Dr
Cross Lanes, WV 25313-2054
Phone (804) 640-2198
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007418 | WV | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricounty Pharmacy Inc | Past | Accepting new patients | |
| Meds 2 Go Express Pharmacy Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Alum Creek, WV
- NPI 1154621340
-
- Community/Retail Pharmacy
- Alum Creek, WV
- NPI 1225690910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368230400000",
"number": "1154767648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 BENNINGTON DR",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253132054",
"telephone_number": "804-640-2198",
"fax_number": "304-769-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 LITTLE COAL RIVER RD",
"city": "ALUM CREEK",
"state": "WV",
"postal_code": "250039262",
"telephone_number": "304-756-2160",
"fax_number": "304-756-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARD",
"first_name": "MARK",
"middle_name": "S",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-11",
"last_updated": "2013-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WV",
"license": "RP0007418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alum Creek, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.