Active NPI
Hector Kiowa Reynoso, PHARMD, RPH
- Pharmacist
- Washington, NC
National Provider Identifier
1720591852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27255
- Practice address
- 627 E 12TH St
Washington, NC 27889-3408 - Phone
- (252) 940-1529
- NPI assigned
- Nov 11, 2017
- Last updated
- Nov 11, 2017
- 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 | 27255 | NC | Primary |
Addresses
Primary practice location
627 E 12TH St
Washington, NC 27889-3408
Mailing address
2412 Park Ave
Monroe, LA 71201-2608
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27255 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510358400000",
"number": "1720591852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 PARK AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712012608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 E 12TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893408",
"telephone_number": "252-940-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "HECTOR",
"middle_name": "KIOWA",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-11",
"last_updated": "2017-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, NC
- Nancy Farmer Reinhard, RPH
- Constance P Rencsok
- Restoration Behavioral Health
- Restorative Community Support Services Co
- Rebecca Branch Revels, PTA
- Daniel Dale Richardson, M.D.
- Jennifer Marzolf Richardson, F.N.P.
- Ridgewood Healthcare LLC (Ridgewood Living and Rehabilitation Center)
- Ridgewood RLC LLC
- Patrick M Riley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.