Clarissa Reyes

Primary specialty

PharmacistTaxonomy code 183500000X

License

70395 Issued in TX

Practice address

4350 Old Omen Rd Apt 7203
Tyler, TX 75707-2545

Phone

(361) 442-8878

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Tyler, TX
  • NPI 1982845509
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1992444582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014260",
            "telephone_number": "903-533-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 OLD OMEN RD APT 7203",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072545",
            "telephone_number": "361-442-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CLARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "70395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "creyes2009@hotmail.com",
            "affiliation": "N",
            "address_1": "4350 Old Omen Rd Apt 7203",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757072545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherri Jo Reuland, D.D.S., M.S., P.A.
• Reunion Inn Assisted Living LLC
• Frank P Reuter Jr., MD
• Robert H Reuter, MD
• Jeremiah Revada
• Luis M Reyes, DO
• Kathy J Reynolds, CRNA
• Tonya Fay Reynolds
• William Reynolds
• Cameca Shay Rhame

• Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.