Active NPI
Adam John Reyna, PHARMD.
- Pharmacist
- Ottumwa, IA
National Provider Identifier
1487922217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21598
- Practice address
- 327 W 4TH St
Ottumwa, IA 52501-2517 - Phone
- (641) 226-5077
- NPI assigned
- Dec 7, 2011
- Last updated
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21598 | IA | Primary |
| Pharmacist | 183500000X | 16059 | WI |
Addresses
Primary practice location
327 W 4TH St
Ottumwa, IA 52501-2517
Mailing address
202 S Ward St Apt 7
Ottumwa, IA 52501-4744
Phone (414) 704-5856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16059 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 21598 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1487922217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S WARD ST APT 7",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525014744",
"telephone_number": "414-704-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 W 4TH ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012517",
"telephone_number": "641-226-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "ADAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21598",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
- Regional Enterprises Inc (Ottumwa Family Pharmacy)
- Holly Reilly, TLMFT
- Peter J Reiter, MD
- Meagan Requena, NBC-HWC
- Rescare, Inc
- Susan Marie Reynolds, ARNP
- Jessica Lane Richards
- Natalie Rindt, RD, LD
- River Hills Community Health Center Inc (RHCHC BH Sigourney Site)
- River Hills Community Health Center Inc (River Hills Pediatric Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.