Individual provider Active NPI

Teri Kezar, PHARMACIST

  • Pharmacist
  • Reno, NV
National Provider Identifier
1346919149
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13740 Issued in NV
Practice address
10500 N McCarran Blvd
Reno, NV 89503-1873
Phone
(775) 746-5717
Fax
(775) 746-2308
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 13740 NV Primary

Addresses

Primary practice location

10500 N McCarran Blvd
Reno, NV 89503-1873

Mailing address

4955 Jackrabbit Rd
Reno, NV 89510-9567
Phone (775) 750-0463

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
13740NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1346919149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 JACKRABBIT RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895109567",
            "telephone_number": "775-750-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 N MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031873",
            "telephone_number": "775-746-5717",
            "fax_number": "775-746-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEZAR",
        "first_name": "TERI",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "13740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.