Individual provider Active NPI

Abigale Elizabeth Reynolds, PHARM.D.

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1326232638
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19168 Issued in NC
Practice address
13006 Edsel Dr
Raleigh, NC 27613-5694
Phone
(919) 646-7367
Fax
(919) 404-2103
NPI assigned
Aug 29, 2007
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19168 NC Primary

Addresses

Primary practice location

13006 Edsel Dr
Raleigh, NC 27613-5694

Mailing address

13006 Edsel Dr
Raleigh, NC 27613-5694
Phone (304) 838-0768

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

LicenseStateTypeSpecialty
19168NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1326232638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 EDSEL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135694",
            "telephone_number": "304-838-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 EDSEL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135694",
            "telephone_number": "919-646-7367",
            "fax_number": "919-404-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ABIGALE",
        "middle_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.