Individual provider Active NPI

Sara Reynolds

  • Pharmacist
  • Grand Rapids, MI
National Provider Identifier
1114714144
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036280 Issued in MI
Practice address
2680 Leonard St NE Ste 5
Grand Rapids, MI 49525-6901
Phone
(616) 369-6401
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036280 MI Primary

Addresses

Primary practice location

2680 Leonard St NE Ste 5
Grand Rapids, MI 49525-6901

Mailing address

7919 Red Clover CT SE
Ada, MI 49301-8705
Phone (989) 928-2963

Other practice location 1

7919 Red Clover Ct SE
Ada, MI 49301-8705
Phone (989) 928-2963

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

State licenses

LicenseStateTypeSpecialty
5302036280MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apc-D&S, LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

2680 Leonard St NE
Ste 5
Grand Rapids, MI 49525
Phone (616) 224-1121

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1114714144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 RED CLOVER CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018705",
            "telephone_number": "989-928-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE STE 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256901",
            "telephone_number": "616-369-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Red Clover Ct SE",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "MI",
            "postal_code": "493018705",
            "country_code": "US",
            "telephone_number": "989-928-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.