Active NPI
Reynolds Drug Strore Inc
- Community/Retail Pharmacy
- Andrews, SC
National Provider Identifier
1184649055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50-000630
- Legal business name
- REYNOLDS DRUG STRORE INC
- Practice address
- 7 S Morgan Ave
Andrews, SC 29510 - Phone
- (843) 264-5454
- Fax
- (843) 264-8362
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica T Legge
- Title
- President
- Phone
- (843) 264-5454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 50-000630 | SC | |
| Community/Retail Pharmacy | 3336C0003X | 50-000630 | SC | Primary |
Addresses
Primary practice location
7 S Morgan Ave
Andrews, SC 29510
Mailing address
7 S Morgan Ave
Andrews, SC 29510-2645
Phone (843) 264-5454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4202292 | Other | SC | NABP |
| 706307 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
7 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5454
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Andrews, SC
- NPI 1275126278
-
- Pharmacist
- Andrews, SC
- NPI 1467826883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533686400000",
"number": "1184649055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S MORGAN AVE",
"city": "ANDREWS",
"state": "SC",
"postal_code": "295102645",
"telephone_number": "843-264-5454",
"fax_number": "843-264-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S MORGAN AVE",
"city": "ANDREWS",
"state": "SC",
"postal_code": "29510",
"telephone_number": "843-264-5454",
"fax_number": "843-264-8362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYNOLDS DRUG STRORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2018-08-08",
"status": "A",
"authorized_official_last_name": "LEGGE",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-264-5454"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": "50-000630",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50-000630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4202292",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "706307",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andrews, SC
- Lisa Morris
- Thomas Ostavus Morris, R.PH.
- Piggly Wiggly Andrews, Inc. (Piggly Wiggly Pharmacy #16)
- Diamond Strong Powell
- Reynolds Drug Store, Inc.
- Sherrie B Richardson, APRN
- Ruthlouis Adult Health Day Care, Inc. (RuthLouis Medical Supply)
- Courtney Session
- Richard Gregory Simpson, RPH
- Patrick Steve Smith Jr., PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.