Thomas D Reidenbach

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48536 Issued in CA

Legal business name

THOMAS D REIDENBACH

Doing business as

MYERS MEDICAL PHARMACY

Practice address

260 Hospital Dr
Ste 111
Ukiah, CA 95482-4533

Phone

(707) 468-8991

Fax

(707) 468-1869

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Reidenbach

Title

Owner

Phone

(707) 468-8991

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MYERS MEDICAL PHARMACY Doing business as

Practitioners 2

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

• Tim Keffeler, PHARM.D.

  • Pharmacist
  • Ukiah, CA
  • NPI 1992396501
  NPD (past)
• Jason M Lund, PHARM.D.

  • Pharmacist
  • Kentfield, CA
  • NPI 1871913871
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1427248772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "address_2": "STE 111",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-468-1866",
            "fax_number": "707-468-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "address_2": "STE 111",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-468-8991",
            "fax_number": "707-468-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D REIDENBACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "REIDENBACH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-468-8991"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5627798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYERS MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Thai, PHARM.D
• The Beginning Project
• The Harmony House, LLC.
• The Orthopedic Wellness Center
• Samuel J Thibodeaux, CRNA
• Thomas D Reidenbach
• Thomas M. Lucas IV, O.D., Inc.
• Carrie L Thomas, TBS
• Gary Thomas
• Lotus Thomas, M.A.

• Community/Retail Pharmacy in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.