Active NPI
Irene H. Reha, RPH
- Pharmacist
- Staten Island, NY
National Provider Identifier
1376720938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027084
- Practice address
- 4065 Amboy Rd
Staten Island, NY 10308-2423 - Phone
- (718) 317-2442
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | 027084 | NY | Primary |
Addresses
Primary practice location
4065 Amboy Rd
Staten Island, NY 10308-2423
Mailing address
171 Bay Ter
Staten Island, NY 10306-3603
Phone (718) 351-6192
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 |
|---|---|---|---|
| 027084 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1376720938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 BAY TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063603",
"telephone_number": "718-351-6192",
"fax_number": "718-317-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4065 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082423",
"telephone_number": "718-317-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHA",
"first_name": "IRENE",
"middle_name": "H.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
- Candida Regine, RN
- Regional Imaging & Therapeutic Radiology Services PC (Regional Radiology)
- Regional NP in Psychiatry (Regional Psychiatry)
- Jennifer Regis, LPN
- Jenifer Lynn Reha-Cahill, NP
- Rehabilitation Housecall PT & OT PLLC
- Rehabilitation Physical Therapy Associates of Staten Island, P.C.
- Kimberly Jane Rehak, M.S. ED.
- Ilana Reich, PH.D.
- China Lily Mae Reichert, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.