Abigail B.Nicole Reynolds

Primary specialty

PharmacistTaxonomy code 183500000X

License

19760 Issued in OK

Practice address

513 Barnes Ave
Alva, OK 73717-2288

Phone

(580) 327-7266

NPI assigned

Jan 20, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Abigail Newman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holder-Southern Drug Company Inc

  dba Holder Drug

  • Community/Retail Pharmacy
  • Alva, OK
  • NPI 1396835013
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1003568106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BARNES AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172229",
            "telephone_number": "580-327-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BARNES AVE",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172288",
            "telephone_number": "580-327-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730963001",
            "country_code": "US",
            "telephone_number": "580-327-7266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ABIGAIL",
        "middle_name": "B.NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Campus Dr",
            "city": "Weatherford",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730963001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hattie Potter
• Callie Diane Pray, PHARMD
• Joshua Jameson Pray, PHARMD
• Brett Wayne Purnell, LAT, ATC
• Brenda Kaye Rebarchik
• Darlene Reynolds
• Jami Rose
• Bianca Ruiz
• Karen Marie Sagner
• Ryan Michael Sand, APRN-CNP

• Pharmacist in Alva, OK
• Providers in Alva, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.