Active NPI
Joanne Marie Reynvaan, RPH
- Pharmacist
- Hoquiam, WA
National Provider Identifier
1780806133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00011198
- Practice address
- 316 8TH St
Hoquiam, WA 98550-3606 - Phone
- (360) 532-3061
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | PH00011198 | WA | Primary |
Addresses
Primary practice location
316 8TH St
Hoquiam, WA 98550-3606
Mailing address
2025 W 6TH St
Aberdeen, WA 98520-1109
Phone (360) 532-4361
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00011198 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Drug Corporation | Past | Accepting new patients | |
| Harbor Drug Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Harbor Drug Pharmacy
- Community/Retail Pharmacy
- Hoquiam, WA
- NPI 1649216037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780806133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 W 6TH ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201109",
"telephone_number": "360-532-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 8TH ST",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "985503606",
"telephone_number": "360-532-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNVAAN",
"first_name": "JOANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoquiam, WA
- Providence Health & Services Washington (Providence St Peter Hospital)
- Paul Ryan Que Sanchez, PT
- Amy Lyn Rasler
- Samantha Rasler
- Sarah Jean Reed
- Richard P. Brooks, Jr., Arnp, Inc. (Behavioral Healthcare Inc.)
- Michaela Alexis Richards
- Lesa Richardson
- Robert C. Nelson, MD, P.C.
- Yvonne Miranda Roberto, CAAR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.