Reeves Drug Store, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000001079 Issued in TN

Legal business name

REEVES DRUG STORE, INC.

Doing business as

Reeves Drug Store Inc

Practice address

125 N 1St St
Pulaski, TN 38478-3214

Phone

(931) 363-2561

Fax

(931) 424-3284

NPI assigned

Jan 19, 2006

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darden F Heritage, RPHNPI 1841380722

Title

Owner and President

Phone

(256) 534-1118

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• REEVES DRUG STORE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Tax ID family

Reeves Drug Store Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Reeves Drug Store Inc.

  dba Reeves Home Health Care

  • Durable Medical Equipment & Medical Supplies
  • Pulaski, TN
  • NPI 1508836701
  NPD tax ID
• Reeves Drug Store Inc.

  • Long Term Care Pharmacy
  • Pulaski, TN
  • NPI 1902679194
  NPD tax ID

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.

• Darden Heritage

  • Pharmacist
  • Huntsville, AL
  • NPI 1841380722
  Authorized official Same address or phone
• Ann D Henry

  • Pharmacotherapy Pharmacist
  • Pulaski, TN
  • NPI 1689824989
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1194705756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780346",
            "telephone_number": "931-363-2561",
            "fax_number": "931-363-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783214",
            "telephone_number": "931-363-2561",
            "fax_number": "931-424-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "DARDEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "256-534-1118",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001079",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095989",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035645",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REEVES DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REEVES DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R.J. Legreid II, MD
• Cameron Marie Rai, CPM
• Christopher Michael Reece, DDS
• Reeves Drug Store Inc. (Reeves Home Health Care)
• Reeves Drug Store Inc.
• Results-Ast JV, LLC
• Revere Wellness LLC
• Kayla Nicole Ridley
• Michele Elaine Ries, LCSW
• Jennifer Marianne Rikard, NP-C

• Community/Retail Pharmacy in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.