EVAN REINECKE (NPI# 1154599421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599421 |
| Entity Type | Individual |
| Full Name | EVAN REINECKE |
| Practice Address |
425 Anderson Ave Fairview NJ 07022-1103 |
| Mailing Address |
35-07 Garden View Ter Fair Lawn NJ 07410-4338 |
| Practice Telephone | 2019417170 |
| Mailing Telephone | 2017941293 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02604600 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PHARMACY | 28RI02604600 | 01 |
| Street Address |
425 ANDERSON AVE |
| City | FAIRVIEW |
| State | NJ |
| Zip Code | 07022-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1326216813 | Max Gruenberg | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043393085 | Advanced Physical Medicine Center, LLC | Clinic/Center | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1932125952 | Open Mri of Fairview | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022 | 2006-07-14 |
| 1104902212 | Marianne Encarnacion | Physical Therapist | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1831275940 | David Berk | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1548343585 | Michael Arber | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1780077875 | Mina Garas | Pharmacist | 374 Park Ave, Fairview, NJ 07022-1114 | 2015-03-12 |
| 1760842116 | Mohammed Ateeli | Emergency Medical Technician, Basic | 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 | 2016-02-27 |
| 1306984075 | Ryan Thomas Finucane | Physical Therapist | 222 Bergen Blvd Ste 8, Fairview, NJ 07022-1300 | 2007-02-02 |
| 1386037141 | Eyedeal Vision Center | Health Maintenance Organization | 222 Bergen Blvd, Unit 1, Fairview, NJ 07022-1300 | 2015-03-17 |
| Find all providers in zip 07022 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679024822 | Austin Avrett | Pharmacist | 1185 Charlotte Hwy, Suite L, Fairview, NC 28730-7782 | 2016-10-21 |
| 1346624194 | Md Plus, LLC | Pharmacist | 16 Wild Iris Ln, Fairview, NC 28730-8763 | 2015-07-10 |
| 1902230576 | Janney Han | Pharmacist | 105b 6th St, Fairview, NJ 07022-1954 | 2013-08-30 |
| 1629327929 | Frank Michael Sovec | Pharmacist | 6090 Bridlewood Dr, Fairview, PA 16415-2709 | 2012-08-31 |
| 1144507492 | Oliver Gary Lackey | Pharmacist | 624 N Main St, Fairview, OK 73737 | 2011-11-14 |
| 1902131899 | Robert Milnes II | Pharmacist | 785 Gunton Dr, Fairview, PA 16415-1418 | 2009-10-09 |
| 1942408307 | Carlton John Shea | Pharmacist | 7215 Springside Dr, Fairview, PA 16415-1547 | 2007-07-06 |
| 1912051954 | Barbara Diane Danielson | Pharmacist | 304 S. Ellery, Fairview, MT 59221 | 2007-01-23 |
| 1649361403 | Charles C. Nimmo | Pharmacist | 210 E State Rd, Fairview, OK 73737-1326 | 2006-09-27 |
| 1598773996 | James Marshal Anderson Jr. | Pharmacist | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-03 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.