Active NPI
Reagan's Pharmacy Inc.
Doing business as Reagan's Vital Care
- Specialty Pharmacy
- Conyers, GA
National Provider Identifier
1245399161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PHRE007176
- Legal business name
- REAGAN'S PHARMACY INC.
- Doing business as
- Reagan's Vital Care
- Practice address
- 1340 Klondike Rd SW
Conyers, GA 30094-5102 - Phone
- (770) 483-4727
- Fax
- (770) 278-0003
- NPI assigned
- Dec 6, 2006
- 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
- Mr. Jeff B. Reagan
- Title
- President
- Phone
- (770) 483-4727
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE007176 | GA | |
| Customized Equipment (DME) | 332BC3200X | PHRE007176 | GA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHRE007176 | GA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PHRE007176 | GA | |
| Pharmacy | 333600000X | PHRE007176 | GA | |
| Community/Retail Pharmacy | 3336C0003X | PHRE007176 | GA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PHRE007176 | GA | |
| Long Term Care Pharmacy | 3336L0003X | PHRE007176 | GA | |
| Mail Order Pharmacy | 3336M0002X | PHRE007176 | GA | |
| Specialty Pharmacy | 3336S0011X | PHRE007176 | GA | Primary |
Addresses
Primary practice location
1340 Klondike Rd SW
Conyers, GA 30094-5102
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277631 | Other | GA | BCBS |
| 00033899B | Medicaid | GA | |
| 1103249 | Other | GA | NABP |
Other names 1
- Reagan's Vital Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1245399161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 KLONDIKE RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945102",
"telephone_number": "770-483-4727",
"fax_number": "770-278-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAGAN'S PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "REAGAN",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-483-4727",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "GA",
"license": "PHRE007176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "277631",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00033899B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1103249",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reagan's Vital Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.