Individual provider Active NPI

Kelly Lauren Reyer, PHARMD

  • Pharmacist
  • Boca Raton, FL
National Provider Identifier
1215403944
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58324 Issued in FL
Practice address
6800 Broken Sound Pkwy NW
Boca Raton, FL 33487-2721
Phone
(561) 961-1900
NPI assigned
Oct 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58324 FL Primary

Addresses

Primary practice location

6800 Broken Sound Pkwy NW
Boca Raton, FL 33487-2721

Mailing address

11813 Island Lakes LN
Boca Raton, FL 33498-6820
Phone (561) 809-4400

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS58324FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1215403944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11813 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986820",
            "telephone_number": "561-809-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BROKEN SOUND PKWY NW",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872721",
            "telephone_number": "561-961-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYER",
        "first_name": "KELLY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.