Active NPI
Kelly Reis, PHARMD, RPH
- Pharmacist
- Norwood, MA
National Provider Identifier
1801114194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26986
- Practice address
- 469 Walpole St
Norwood, MA 02062-1710 - Phone
- (781) 769-5400
- Fax
- (781) 769-7251
- NPI assigned
- May 11, 2010
- 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 | 26986 | MA | Primary |
Addresses
Primary practice location
469 Walpole St
Norwood, MA 02062-1710
Mailing address
555 Page St
Unit #105
Stoughton, MA 02072-6026
Phone (781) 436-5931
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 |
|---|---|---|---|
| 26986 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1801114194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PAGE ST",
"address_2": "UNIT #105",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020726026",
"telephone_number": "781-436-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 WALPOLE ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020621710",
"telephone_number": "781-769-5400",
"fax_number": "781-769-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "KELLY",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.