Liesl Reyes, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

81553 Issued in CA

Practice address

800 Redwood Hwy Frontage Rd Ste 110
Mill Valley, CA 94941-2351

Phone

(415) 360-9020

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: liesl.reyes.p1@direct.lakeside.nextgenshare.com

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.

• Safeway Inc

  dba Safeway Pharmacy #0209

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1689212094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 REDWOOD HWY FRONTAGE RD STE 110",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412351",
            "telephone_number": "415-360-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 REDWOOD HWY FRONTAGE RD STE 110",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412351",
            "telephone_number": "415-360-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LIESL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Reitz, D.C.
• Remote Diagnostic Interpreters PC
• Nicole L Rennix, LMFT
• Michael Reppy, PT
• Resolution Pain Relief
• Charles Norton Reynolds
• Nancy Rhine, MS
• Richard Goldwasser, MD and Associates
• Robert J. Riopelle, M.D.
• Rising Tide Licensed Clinical Social Worker a Professional Corp

• Pharmacist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.