Jonathan Alexander Reynolds

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH035661 Issued in GA

Practice address

3330 Chastain Meadows Pkwy NW Ste 100
Kennesaw, GA 30144-5881

Phone

(770) 421-1399

NPI assigned

Apr 1, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovation Compounding Pharmacy, LLC

  • Pharmacy
  • Kennesaw, GA
  • NPI 1710157342
  NPD (past)

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1336080811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CHASTAIN MEADOWS PKWY NW STE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CHASTAIN MEADOWS PKWY NW STE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445881",
            "telephone_number": "770-421-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JONATHAN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH035661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resurgens, LLC
• Revive Wellness of Kennesaw LLC
• Jennifer G Rewis, CNM
• Holaya Danyabel Reyes
• Magaly Reyes
• Joseph C Reynolds II, P.A
• Nicole Hope Reynolds
• Sandi Sierra Reynolds
• Shea Elizabeth Reynolds
• Tanya Michelle Rhoney, CCMA, SURGICAL TECH

• Pharmacist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.