Active NPI
John Reno
- Pharmacist
- Jetmore, KS
National Provider Identifier
1376758532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6360
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100438040A | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI 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
- Hodgeman County Health Center (o;shea memorial clinic)
- Hodgeman County Health Center
- Hodgeman County Medical Services
- Hodgeman County Pharmacy LLC (Hodgeman County Pharmacy)
- Hodgeman County Pharmacy LLC
- Rachel Moore, DC
- Occupational Health Clinic LLC
- Gina Marie Pack
- Unified School District 227
- Alejandro David Vando Pedrosa, MD
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.