Individual provider Active NPI

Teja Renelle Reaves-McKee, PHARMD

  • Pharmacist
  • Mayfield Heights, OH
National Provider Identifier
1528886355
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03444767 Issued in OH
Practice address
1491 Som Center Rd
Mayfield Heights, OH 44124-2101
Phone
(440) 442-1484
NPI assigned
Oct 1, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03444767 OH Primary

Addresses

Primary practice location

1491 Som Center Rd
Mayfield Heights, OH 44124-2101

Mailing address

1491 Som Center Rd
Mayfield Heights, OH 44124-2101
Phone (440) 442-1484

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
03444767OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1528886355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 SOM CENTER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242101",
            "telephone_number": "440-442-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 SOM CENTER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242101",
            "telephone_number": "440-442-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES-MCKEE",
        "first_name": "TEJA",
        "middle_name": "RENELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03444767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.