Active NPI
Matthew Allen Reik, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Davie, FL
National Provider Identifier
1407334691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS49251
- Practice address
- 6191 Orange Dr Ste 6177N
Davie, FL 33314-3457 - Phone
- (954) 321-8029
- NPI assigned
- Jul 31, 2018
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS49251 | FL | Primary |
Addresses
Primary practice location
6191 Orange Dr Ste 6177N
Davie, FL 33314-3457
Mailing address
414 SW 10TH St
Fort Lauderdale, FL 33315-1216
Phone (954) 650-9777
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS49251 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1407334691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 SW 10TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333151216",
"telephone_number": "954-650-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6191 ORANGE DR STE 6177N",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143457",
"telephone_number": "954-321-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIK",
"first_name": "MATTHEW",
"middle_name": "ALLEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS49251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.