Provider Demographics
NPI:1770201212
Name:REINERT, CORY (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:
Last Name:REINERT
Suffix:
Gender:M
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3084 LAKECREST CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1972
Mailing Address - Country:US
Mailing Address - Phone:859-260-6766
Mailing Address - Fax:859-219-6498
Practice Address - Street 1:3084 LAKECREST CIR STE 100
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1972
Practice Address - Country:US
Practice Address - Phone:859-260-6766
Practice Address - Fax:859-219-6498
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist