MR. PHILLIP GREG REASCH (NPI# 1205215456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205215456 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP GREG REASCH |
| Credential | RPH |
| Practice Address |
905 Bridger Dr Green River WY 82935-5879 |
| Practice Telephone | 3078757841 |
| Practice Fax Number | 3078750166 |
| Mailing Telephone | 3078757841 |
| Mailing Fax Number | 3078750166 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
2763 | WY | Pharmacy Service Providers |
| Street Address |
905 BRIDGER DR |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487197 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 905 Bridger Dr, Green River, WY 82935-5879 | 2006-07-13 |
| 1205485448 | Jordan Mefford | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2019-09-10 |
| 1144795220 | Ajaykumar Patel | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2018-10-04 |
| 1881095966 | Smith's Food and Drug Pharmacy #187 | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-09 |
| 1609276112 | Resha Ashly Ball | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2014-09-03 |
| 1306181110 | Kristi Louise Radosevich | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2012-12-05 |
| 1396054797 | Svetlana Wells | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2010-10-02 |
| 1083948806 | Nathaniel David Gomez | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2009-09-25 |
| 1295986875 | Gerald Lynn Paxton | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2008-10-01 |
| 1104077783 | Carolyn Komosinski Peavey | Pharmacist | 905 Bridger Dr, Green River, WY 82935-5879 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265732598 | Steven M. Borin | Pharmacist | 109 E.17th St, Cheyenne, WY 82001 | 2010-11-03 |
| 1093804270 | Dale Roy Carlson | Pharmacist | 901 E 22nd Ave, Torrington, WY 82240-2626 | 2006-10-12 |
| 1124041082 | Travis J. Cork | Pharmacist | 711 Samuel Ln, Cheyenne, WY 82009-4434 | 2006-07-25 |
| 1679553986 | Tonja Marie Woods | Pharmacist | 255 N 30th St, Laramie, WY 82072-5140 | 2006-01-20 |
| 1659377588 | Agatha Christie Graham | Pharmacist | 1233 E 2nd St, Casper, WY 82601-2926 | 2005-06-24 |
| 1942202296 | Linda Gore Martin | Pharmacist | 1000 E University Ave, Laramie, WY 82071-2000 | 2005-06-01 |
| 1033696992 | Trevor Arave | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2018-07-24 |
| 1669421996 | Weeranuj Yamreudeewong | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-05-05 |
| City | GREEN RIVER |
| Zip Code | 82935 |
Please comment or provide details below to improve the information on MR. PHILLIP GREG REASCH.
| 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.