Individual provider Active NPI

Emily Jean Reinke, PHARMD

  • Pharmacist
  • Bridgeton, MO
National Provider Identifier
1447444039
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2007023328 Issued in MO
Practice address
12921 Enterprise Way
Bridgeton, MO 63044
Phone
(314) 344-9677
Fax
(314) 344-9250
NPI assigned
Aug 28, 2007
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2007023328 MO Primary

Addresses

Primary practice location

12921 Enterprise Way
Bridgeton, MO 63044

Mailing address

12921 Enterprise Way
Bridgeton, MO 63044-1206
Phone (314) 344-9677

Other identifiers 1

IdentifierTypeStateIssuer
2007023328OtherMOMISSOURI PHARMACY BOARD

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

LicenseStateTypeSpecialty
2007023328MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1447444039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 ENTERPRISE WAY",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441206",
            "telephone_number": "314-344-9677",
            "fax_number": "314-344-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 ENTERPRISE WAY",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-9677",
            "fax_number": "314-344-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007023328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI PHARMACY BOARD",
            "identifier": "2007023328",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.