Gary Alan Reeves, R.PH.
Individual provider Active NPI Pharmacist · Polacca, AZ
NPI 1427170695 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1427170695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- Highway 264 Mile Marker 388
Hopi Health Care Center
Polacca, AZ 86042 - Phone
- (928) 737-6190
- Fax
- (928) 737-6332
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH000010148 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | WA | Yes |
Addresses
Primary practice location
Highway 264 Mile Marker 388
Hopi Health Care Center
Polacca, AZ 86042
Mailing address
PO Box 4000
Hopi Health Care Center
Polacca, AZ 86042-4000
Phone (928) 737-6190
Other providers in Polacca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.