Active NPI
Reginald Reif, R.PH, D.D.S.
- Pharmacist
- Overland Park, KS
National Provider Identifier
1215158274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-08919
- Practice address
- 9900 Hardy Dr
Overland Park, KS 66212-3483 - Phone
- (913) 707-5932
- NPI assigned
- May 1, 2007
- Last updated
- Feb 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4997 | KS | |
| Pharmacist | 183500000X | 1-08919 | KS | Primary |
Addresses
Primary practice location
9900 Hardy Dr
Overland Park, KS 66212-3483
Mailing address
9900 Hardy Dr
Overland Park, KS 66212-3483
Phone (913) 707-5932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4997 | Other | KS | DENTIST |
| 8919 | Other | KS | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4997 | KS | MD | Clinical Social Worker |
| 1-08919 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1215158274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 HARDY DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123483",
"telephone_number": "913-707-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 HARDY DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123483",
"telephone_number": "913-707-5932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIF",
"first_name": "REGINALD",
"name_prefix": "Dr.",
"credential": "R.PH, D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "4997",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-08919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "4997",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "8919",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.