Organization Active NPI

John Reno

  • Pharmacist
  • Jetmore, KS
National Provider Identifier
1376758532
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6360 Issued in KS
Legal business name
JOHN RENO
Practice address
519 Main St
Box 68
Jetmore, KS 67854-0068
Phone
(620) 357-8305
Fax
(620) 357-8305
NPI assigned
May 11, 2007
Last updated
Jul 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Mr. John Reno, RPH
Title
Pharmacistowner
Phone
(620) 357-8305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6360 KS Primary

Addresses

Primary practice location

519 Main St
Box 68
Jetmore, KS 67854-0068

Mailing address

519 Main St
Box 68
Jetmore, KS 67854-0068
Phone (620) 357-8305

Other identifiers 1

IdentifierTypeStateIssuer
100438040AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1376758532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "address_2": "BOX 68",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540068",
            "telephone_number": "620-357-8305",
            "fax_number": "620-357-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "address_2": "BOX 68",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540068",
            "telephone_number": "620-357-8305",
            "fax_number": "620-357-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "RENO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACISTOWNER",
        "authorized_official_telephone_number": "620-357-8305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "6360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100438040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jetmore, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.