Individual provider Active NPI

Amy Beth Reithmeyer

  • Pharmacist
  • Fort Atkinson, WI
National Provider Identifier
1376989269
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11093-40 Issued in WI
Practice address
1425 Janesville Ave
Fort Atkinson, WI 53538-2705
Phone
(920) 563-9351
Fax
(920) 563-7996
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11093-40 WI Primary

Addresses

Primary practice location

1425 Janesville Ave
Fort Atkinson, WI 53538-2705

Mailing address

1425 Janesville Ave
Fort Atkinson, WI 53538-2705
Phone (920) 563-9351

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
11093-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1376989269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 JANESVILLE AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382705",
            "telephone_number": "920-563-9351",
            "fax_number": "920-563-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 JANESVILLE AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382705",
            "telephone_number": "920-563-9351",
            "fax_number": "920-563-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITHMEYER",
        "first_name": "AMY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11093-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.