Active NPI
Robert Reiver
- Pharmacist
- Rockledge, PA
National Provider Identifier
1760075642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP029312L
- Practice address
- 400 Huntingdon Pike Ste a
Rockledge, PA 19046-4431 - Phone
- (215) 663-1755
- NPI assigned
- Feb 11, 2021
- Last updated
- Feb 11, 2021
- 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 | RP029312L | PA | Primary |
Addresses
Primary practice location
400 Huntingdon Pike Ste a
Rockledge, PA 19046-4431
Mailing address
400 Huntingdon Pike Ste a
Rockledge, PA 19046-4431
Phone (215) 663-1755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP029312L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Man Inc | Current | Accepting new patients |
Locations
400 Huntingdon Pike
Ste A
Rockledge, PA 19046
Phone (215) 663-1755
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1760075642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HUNTINGDON PIKE STE A",
"city": "ROCKLEDGE",
"state": "PA",
"postal_code": "190464431",
"telephone_number": "215-663-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HUNTINGDON PIKE STE A",
"city": "ROCKLEDGE",
"state": "PA",
"postal_code": "190464431",
"telephone_number": "215-663-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIVER",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029312L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.