Organization Active NPI

Reed Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Elizabethton, TN
National Provider Identifier
1295128809
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00005528 Issued in TN
Legal business name
REED PHARMACY, INC.
Doing business as
Reed Pharmacy
Practice address
851 W Elk Ave
Elizabethton, TN 37643-2946
Phone
(423) 518-1088
Fax
(423) 518-1085
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. Phillip Randall Reed, PHARM.D.
Title
Pharmacist/Owner
Phone
(423) 518-1088

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 00005528 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

851 W Elk Ave
Elizabethton, TN 37643-2946

Mailing address

851 W Elk Ave
Elizabethton, TN 37643-2946
Phone (423) 518-1088

Other identifiers 1

IdentifierTypeStateIssuer
Q045495MedicaidTN

Other names 1

  • Reed Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150521001547 TN Part B Supplier - Mass Immunization (Roster Biller Only) 7113247784 Practice locations: Elizabethton, TN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1295128809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432946",
            "telephone_number": "423-518-1088",
            "fax_number": "423-518-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432946",
            "telephone_number": "423-518-1088",
            "fax_number": "423-518-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "423-518-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00005528",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045495",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.