Active NPI
Emily Anne Reynolds, PHARMD
- Pharmacist
- Fayetteville, NC
National Provider Identifier
1285305680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20963-40
- Practice address
- 2300 Ramsey St
Fayetteville, NC 28301-3856 - Phone
- (910) 488-2120
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 20963-40 | WI | Primary |
Addresses
Primary practice location
2300 Ramsey St
Fayetteville, NC 28301-3856
Mailing address
6196 US 64
Bloomfield, NM 87413-9776
Phone (262) 442-0950
Other practice location 1
US Highway 491 North
Shiprock, NM 87420
Phone (505) 368-7265
Other practice location 2
Corner of Lamont St & Veterans Way
Building 77
Mountain Home, TN 37684
Phone (423) 926-1171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20963-40 | Other | WI | DOCTORATE OF PHARMACY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20963-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1285305680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 US 64",
"city": "BLOOMFIELD",
"state": "NM",
"postal_code": "874139776",
"telephone_number": "262-442-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013856",
"telephone_number": "910-488-2120"
}
],
"practiceLocations": [
{
"address_1": "US Highway 491 North",
"address_purpose": "LOCATION",
"city": "Shiprock",
"state": "NM",
"postal_code": "87420",
"country_code": "US",
"telephone_number": "505-368-7265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Corner of Lamont St & Veterans Way",
"address_2": "Building 77",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "TN",
"postal_code": "37684",
"country_code": "US",
"telephone_number": "423-926-1171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "EMILY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20963-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORATE OF PHARMACY",
"identifier": "20963-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.