Individual provider Active NPI

Amanda Brown Reitzel, R.PH.

  • Pharmacist
  • Incline Village, NV
National Provider Identifier
1487794582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15061 Issued in NV
Practice address
917 Michael CT
Incline Village, NV 89451-8526
Phone
(775) 831-5584
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15061 NV Primary

Addresses

Primary practice location

917 Michael CT
Incline Village, NV 89451-8526

Mailing address

917 Michael CT
Incline Village, NV 89451-8526
Phone (775) 831-5584

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15061NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Pharmacy Inc Pharmacist Current Accepting new patients
Sunshine Pharmacy, Inc. Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487794582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MICHAEL CT",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518526",
            "telephone_number": "775-831-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MICHAEL CT",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518526",
            "telephone_number": "775-831-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZEL",
        "first_name": "AMANDA",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.