Active NPI
Destiny Reed, PHARMD
- Pharmacist
- Rincon, GA
National Provider Identifier
1003588740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033298
- Practice address
- 409 S Columbia Ave
Rincon, GA 31326-9446 - Phone
- (912) 826-7350
- NPI assigned
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033298 | GA | Primary |
Addresses
Primary practice location
409 S Columbia Ave
Rincon, GA 31326-9446
Mailing address
4630 Sylvan Dr
Savannah, GA 31405-5132
Phone (912) 341-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033298 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
409 S Columbia Ave
Rincon, GA 31326
Phone (912) 826-7350
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1003588740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 SYLVAN DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055132",
"telephone_number": "912-341-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313269446",
"telephone_number": "912-826-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DESTINY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.