Active NPI
Edward Griffin Reynolds, PHARMD
- Pharmacist
- Madison, GA
National Provider Identifier
1053934018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030971
- Practice address
- 218 S Main St
Madison, GA 30650-1303 - Phone
- (063) 424-1417
- Fax
- (706) 342-3297
- NPI assigned
- May 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030971 | GA | Primary |
| Pharmacist | 183500000X | 42538 | TN |
Addresses
Primary practice location
218 S Main St
Madison, GA 30650-1303
Mailing address
218 S Main St
Madison, GA 30650-1303
Phone (063) 424-1417
Other practice location 1
1420 E Evans St
Bainbridge, GA 39819-4336
Phone (229) 246-7200
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 |
|---|---|---|---|
| RPH030971 | GA | MD | Pharmacist |
| 42538 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Mac Discount Drugs, Inc | Current | Accepting new patients | |
| Thrifty Mac Discount Drugs, Inc | Current | Accepting new patients |
Locations
218 S Main St
Madison, GA 30650
Phone (706) 342-4141
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Madison, GA
- NPI 1043308752
-
- Long Term Care Pharmacy
- Madison, GA
- NPI 1851056238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1053934018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 S MAIN ST",
"city": "MADISON",
"state": "GA",
"postal_code": "306501303",
"telephone_number": "063-424-1417",
"fax_number": "706-342-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S MAIN ST",
"city": "MADISON",
"state": "GA",
"postal_code": "306501303",
"telephone_number": "063-424-1417",
"fax_number": "706-342-3297"
}
],
"practiceLocations": [
{
"address_1": "1420 E Evans St",
"address_purpose": "LOCATION",
"city": "Bainbridge",
"state": "GA",
"postal_code": "398194336",
"country_code": "US",
"telephone_number": "229-246-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "EDWARD",
"middle_name": "GRIFFIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030971",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.