Active NPI
Reed Pharmacy, Inc.
- Community/Retail Pharmacy
- Elizabethton, TN
National Provider Identifier
1295128809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00005528
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045495 | Medicaid | TN |
Other names 1
- Reed Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150521001547 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113247784 | Practice locations: Elizabethton, TN |
National Provider Directory
National Provider DirectoryNPI 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.