Active NPI
Paul W Reeve, PHARMD
- Pharmacotherapy Pharmacist
- Twin Falls, ID
National Provider Identifier
1831554286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- P6896
- Practice address
- 388 Martin St
Twin Falls, ID 83301-4544 - Phone
- (208) 732-1645
- NPI assigned
- Dec 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6896 | ID | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P6896 | ID | |
| Pharmacotherapy Pharmacist | 1835P1200X | P6896 | ID | Primary |
Addresses
Primary practice location
388 Martin St
Twin Falls, ID 83301-4544
Mailing address
2168 Candleridge Dr
Twin Falls, ID 83301-8309
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6896 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1831554286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 CANDLERIDGE DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 MARTIN ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014544",
"telephone_number": "208-732-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVE",
"first_name": "PAUL",
"middle_name": "W",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6896",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P6896",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "ID",
"license": "P6896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.