Trevor Reynolds, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17706 Issued in AL

Practice address

1011 US Highway 72 E
Athens, AL 35611-4319

Phone

(256) 233-3568

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Madison, AL
  • NPI 1174874267
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1184023012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NE SHANNON DR",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036121",
            "telephone_number": "256-630-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 US HIGHWAY 72 E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356114319",
            "telephone_number": "256-233-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revitalize Chiropractic and Sport
• Revival Psychiatry
• Stefanie R Reyer
• Alyssa Reynolds, PHARMD
• Deann Reynolds, BS
• Rachel B Rigsby, PA
• Aleisha Riley, BS
• Courtney Rae Ringrose, DMD
• Debra H Roberson, ST
• Roberta Ress, C.N.M., P.C.

• Pharmacist in Athens, AL
• Providers in Athens, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.