Active NPI
Jeffrey Clark Reist, PHARMD
- Pharmacist
- Iowa City, IA
National Provider Identifier
1700072469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16165
- Practice address
- 115 South Grand Ave
Room 216
Iowa City, IA 52242 - Phone
- (319) 335-6513
- NPI assigned
- Sep 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 16165 | IA | Primary |
Addresses
Primary practice location
115 South Grand Ave
Room 216
Iowa City, IA 52242
Mailing address
3405 76TH Avenue Dr SW
Cedar Rapids, IA 52404-8929
Phone (319) 848-4031
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 |
|---|---|---|---|
| 16165 | IA | MD | Pharmacist |
Interoperability endpoints
- jreist903@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1700072469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 76TH AVENUE DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524048929",
"telephone_number": "319-848-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SOUTH GRAND AVE",
"address_2": "ROOM 216",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-335-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIST",
"first_name": "JEFFREY",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-17",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.