Active NPI
Jacob Allen Reiche, PHARM.D.
- Pharmacist
- Brenard, NC
National Provider Identifier
1669750154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17811
- Practice address
- 163 Rosman Hwy
Brenard, NC 28712 - Phone
- (828) 877-6111
- Fax
- (828) 877-6487
- NPI assigned
- Aug 1, 2011
- Last updated
- Aug 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17811 | NC | Primary |
Addresses
Primary practice location
163 Rosman Hwy
Brenard, NC 28712
Mailing address
PO Box 495
Franklin, NC 28744
Phone (352) 256-1579
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 |
|---|---|---|---|
| 17811 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Pharmacy LLC | Current | Accepting new patients | |
| Gordon Family Pharmacy Inc | 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.
-
dba Gordon Family Pharmacy
- Community/Retail Pharmacy
- Brevard, NC
- NPI 1881855260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1669750154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 495",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "28744",
"telephone_number": "352-256-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 ROSMAN HWY",
"city": "BRENARD",
"state": "NC",
"postal_code": "28712",
"telephone_number": "828-877-6111",
"fax_number": "828-877-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHE",
"first_name": "JACOB",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.