Individual provider Active NPI

Alexander Michael Rieth

  • Pharmacist
  • Depew, NY
National Provider Identifier
1396302931
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065755 Issued in NY
Practice address
578 Dick Rd
Depew, NY 14043-1846
Phone
(716) 683-9870
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pharmacist 183500000X 065755 NY Primary

Addresses

Primary practice location

578 Dick Rd
Depew, NY 14043-1846

Mailing address

9443 Bear Springs Rd
Brewerton, NY 13029-8721
Phone (315) 243-8494

Other practice location 1

9443 Bear Springs Rd
Brewerton, NY 13029-8721
Phone (315) 243-8494

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://mail/?_task=mail&_mbox=INBOX

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
065755NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Dec 18, 2022 Accepting new patients
Walgreen Co PastSince Dec 18, 2022 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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1396302931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 BEAR SPRINGS RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298721",
            "telephone_number": "315-243-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 DICK RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431846",
            "telephone_number": "716-683-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9443 Bear Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Brewerton",
            "state": "NY",
            "postal_code": "130298721",
            "country_code": "US",
            "telephone_number": "315-243-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIETH",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://mail/?_task=mail&_mbox=INBOX",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "578 Dick Rd",
            "city": "Depew",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140431846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.