1609100726 NPI number — REEF FAMILY PHARMACY LLC

Table of content: (NPI 1609100726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609100726 NPI number — REEF FAMILY PHARMACY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REEF FAMILY PHARMACY LLC
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:
REEF FAMILY 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:
1609100726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1037 ROUTE 9 SOUTH
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY COURT HOUSE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-465-0004
Provider Business Mailing Address Fax Number:
609-465-0045

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1037 ROUTE 9 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY COURT HOUSE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-465-0004
Provider Business Practice Location Address Fax Number:
609-465-0045
Provider Enumeration Date:
09/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REEF
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
OWNER/PHARMACIST
Authorized Official Telephone Number:
609-465-0004

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  28RS00696800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 3196412 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".