Active NPI
James Robert Reynolds, RPH
- Pharmacist
- Wooster, OH
National Provider Identifier
1255450409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027283
- Practice address
- 721 E Milltown Rd
Wooster, OH 44691-1331 - Phone
- (330) 287-4538
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302027283 | MI | Primary |
Addresses
Primary practice location
721 E Milltown Rd
Wooster, OH 44691-1331
Mailing address
8448 Valley Forge Dr
Cadillac, MI 49601-8948
Phone (231) 876-1774
Other practice location 1
825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-2163
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027283 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1255450409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8448 VALLEY FORGE DR",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018948",
"telephone_number": "231-876-1774",
"fax_number": "989-731-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E MILLTOWN RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911331",
"telephone_number": "330-287-4538"
}
],
"practiceLocations": [
{
"address_1": "825 N Center Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351592",
"country_code": "US",
"telephone_number": "989-731-2163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.