NPIMap

Organization Active NPI

Reidt Pharmacy Corperation

  • Long Term Care Pharmacy
  • Spokane, WA
National Provider Identifier
1417622762
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REIDT PHARMACY CORPERATION
Practice address
601 W Riverside Ave Ste 140B
Spokane, WA 99201-0621
Phone
(509) 624-2111
Fax
(509) 624-9500
NPI assigned
Aug 10, 2021
Organization subpart
Yes
Parent organization
REIDT PHARMACY CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mr. Daniel J Reidt, PHARM.D.NPI 1922259936
Title
President
Phone
(509) 624-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

601 W Riverside Ave Ste 140B
Spokane, WA 99201-0621

Mailing address

601 W Riverside Ave Ste 140
Spokane, WA 99201-0622
Phone (509) 624-2111

Other names 1

  • Hart and Dilatush LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reidt Pharmacy Corperation2 organizations share this tax ID, including this one
Part of
Reidt Pharmacy Corperation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 W Riverside Ave
Ste 140
Spokane, WA 99201
Phone (509) 624-2111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1417622762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE AVE STE 140",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010622",
            "telephone_number": "509-624-2111",
            "fax_number": "509-624-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W RIVERSIDE AVE STE 140B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010621",
            "telephone_number": "509-624-2111",
            "fax_number": "509-624-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDT PHARMACY CORPERATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REIDT PHARMACY CORPORATION",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "REIDT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-624-2111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart and Dilatush LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.