Tina Rea, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13609-40 Issued in WI

Practice address

425 Pine Ridge Blvd Ste 103
Wausau, WI 54401-4122

Phone

(715) 847-2547

NPI assigned

Nov 10, 2020

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1699377176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223709 MAGNOLIA AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016618",
            "telephone_number": "715-297-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD STE 103",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014122",
            "telephone_number": "715-847-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "TINA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13609-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rasmussen, OT
• Lea Lisa Ratajczyk, MS, CCC-SLP
• Wendy Ann Rausch, PHARM D.
• Jeremy Rawlings
• Julie Ann Rayburn, P.A.
• Abigail Ida Ream, PSY.D.
• Samantha Ann Rebman, DNP
• Red Bird Counseling
• Rick R Reding, MD
• Cara M Reed, LPC

• Pharmacist in Wausau, WI
• Providers in Wausau, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.