Healthcare Provider Details

I. General information

NPI: 1457216830
Provider Name (Legal Business Name): NADIA REYES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ATLANTIC AVE FL 3
ATLANTIC CITY NJ
08401-6804
US

IV. Provider business mailing address

1662 WOODLAWN AVE
VINELAND NJ
08360-4352
US

V. Phone/Fax

Practice location:
  • Phone: 609-441-7190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04474600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: