Nina Kristine Reilly
Individual provider
Active NPI
Pharmacist · Webster, MA
NPI 1982377313 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1982377313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23032 (MA)
- Practice address
- 2 Worcester Rd
Webster, MA 01570-1652
- Phone
- (508) 949-8804
- Fax
- (866) 301-5281
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|
| 23032 | MA | MD | Pharmacist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pharmacist |
183500000X |
23032 |
MA |
Yes |
Addresses
Primary practice location
2 Worcester Rd
Webster, MA 01570-1652
Mailing address
2 Worcester Rd
Webster, MA 01570-1652
Phone (508) 949-8804
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 2021 | Medicaid | MA | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Other URL |
ninareilly@golub.com |
|
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