Individual provider Active NPI

John Wayne Reedy Jr.

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1255093191
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443756 Issued in PA
Practice address
1901 Murray Ave
Pittsburgh, PA 15217-1607
Phone
(412) 421-2903
Fax
(412) 421-2961
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443756 PA Primary

Addresses

Primary practice location

1901 Murray Ave
Pittsburgh, PA 15217-1607

Mailing address

3762 Greensburg Pike
Pittsburgh, PA 15221-3904
Phone (412) 979-8085

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

LicenseStateTypeSpecialty
RP443756PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Giant Eagle, Inc PastSince Oct 10, 2021 Accepting new patients
Giant Eagle Inc PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1255093191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 GREENSBURG PIKE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213904",
            "telephone_number": "412-979-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MURRAY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171607",
            "telephone_number": "412-421-2903",
            "fax_number": "412-421-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.