Individual provider Active NPI

Eric Reigel, PHARMD.

  • Pharmacist
  • Saint Augustine, FL
National Provider Identifier
1457710113
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35101 Issued in FL
Practice address
105 Whitehall Dr
Suite 109
Saint Augustine, FL 32086-5269
Phone
(904) 829-2782
NPI assigned
Feb 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS35101 FL Primary

Addresses

Primary practice location

105 Whitehall Dr
Suite 109
Saint Augustine, FL 32086-5269

Mailing address

105 Whitehall Dr
Suite 109
Saint Augustine, FL 32086-5269
Phone (904) 829-2782

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
PS35101FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1457710113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHITEHALL DR",
            "address_2": "SUITE 109",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865269",
            "telephone_number": "904-829-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITEHALL DR",
            "address_2": "SUITE 109",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865269",
            "telephone_number": "904-829-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGEL",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.