Active NPI
Rhiannon Reinke
- Pharmacy Technician
- Green Bay, WI
National Provider Identifier
1801486865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 3014998
- Practice address
- 930 Main St
Green Bay, WI 54301-4806 - Phone
- (920) 436-9382
- NPI assigned
- Jan 24, 2021
- Last updated
- Jan 24, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 3014998 | WI | Primary |
Addresses
Primary practice location
930 Main St
Green Bay, WI 54301-4806
Mailing address
2050 Lime Kiln Rd
Green Bay, WI 54311-6264
Phone (920) 406-9049
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 |
|---|---|---|---|
| 3014998 | WI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1801486865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 LIME KILN RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116264",
"telephone_number": "920-406-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MAIN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014806",
"telephone_number": "920-436-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINKE",
"first_name": "RHIANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WI",
"license": "3014998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.