Provider Demographics
NPI:1497867345
Name:DANIEL REIF INC
Entity Type:Organization
Organization Name:DANIEL REIF INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REIF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:913-788-3344
Mailing Address - Street 1:6523 PARALLEL AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6523 PARALLEL AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1044
Practice Address - Country:US
Practice Address - Phone:913-788-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS209924333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200262250BMedicaid
1708001OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1708001OtherOTHER ID NUMBER-COMMERCIAL NUMBER
KS5869280001Medicare NSC
KS9004324Medicare PIN