Active NPI
Rebecca Reed, D.PH.
- Pharmacist
- Ardmore, OK
National Provider Identifier
1154766681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11015
- Practice address
- 814 W Broadway St
Ardmore, OK 73401-4527 - Phone
- (580) 223-7636
- NPI assigned
- May 10, 2013
- Sex
- Female
- 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 | 11015 | OK | Primary |
| Pharmacist | 183500000X | 29088 | TX |
Addresses
Primary practice location
814 W Broadway St
Ardmore, OK 73401-4527
Mailing address
814 W Broadway St
Ardmore, OK 73401-4527
Phone (580) 223-7636
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29088 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardmore Family Pharmacy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Reed Family Pharmacy
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1750475166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1154766681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 W BROADWAY ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014527",
"telephone_number": "580-223-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 W BROADWAY ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014527",
"telephone_number": "580-223-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11015",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29088",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.