Provider Demographics
NPI:1972190874
Name:REINERT, CELTINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CELTINA
Middle Name:
Last Name:REINERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8686 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3648
Mailing Address - Country:US
Mailing Address - Phone:913-642-4140
Mailing Address - Fax:913-648-0100
Practice Address - Street 1:8686 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3648
Practice Address - Country:US
Practice Address - Phone:913-642-4140
Practice Address - Fax:913-648-0100
Is Sole Proprietor?:No
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006013291183500000X
KS1-14040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1-14040OtherKANSAS STATE PHARMACIST LICENSE