1164516647 NPI number — REICH'S PHARMACY, INC

Table of content: (NPI 1164516647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164516647 NPI number — REICH'S PHARMACY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REICH'S PHARMACY, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HAROLD K REICH'S PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164516647
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
39 W 10TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRACY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95376-3901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-835-1832
Provider Business Mailing Address Fax Number:
209-835-0704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
39 W 10TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRACY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95376-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-835-1832
Provider Business Practice Location Address Fax Number:
209-835-0704
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REICH
Authorized Official First Name:
HAROLD
Authorized Official Middle Name:
KEITH
Authorized Official Title or Position:
GENERAL PARTNER/RPH
Authorized Official Telephone Number:
209-835-1832

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PHY45237 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHA452370 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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