Reed Drug Store Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

140255716 Issued in AR

Legal business name

REED DRUG STORE INC

Practice address

201 S Main St
Pine Bluff, AR 71601-4321

Phone

(870) 534-8351

Fax

(870) 850-6318

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Rosen, PD

Title

President Pharmacist in Charge

Phone

(870) 534-8351

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• diabetes shoppe Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alison Jones, R.D.

  • Registered Dietitian
  • Pine Bluff, AR
  • NPI 1528244076
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1083600910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014321",
            "telephone_number": "870-534-8351",
            "fax_number": "870-850-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014321",
            "telephone_number": "870-534-8351",
            "fax_number": "870-850-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-534-8351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AR",
            "license": "04D0983574 CLIA",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "100103407",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": "140255716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100-103-407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140255716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "diabetes shoppe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scotty L Reddin, CRNA
• Redeem Adult Day Healthcare
• Redeeming Hope Counseling
• Anna Talley Redman, M.D.
• Amy Reece, OTR.L
• Candace P Reed, BA, MHPP
• Kyndra Reed, PHARMD
• Dana Reese
• Lakiska Marsha Reeves
• Reform, Inc.

• Customized Equipment (DME) in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Customized Equipment (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.