Active NPI
Marcia Gravitt Reynolds, RPH
- Pharmacist
- North Wilkesboro, NC
National Provider Identifier
1336443522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10372
- Practice address
- 240 Sparta Rd
North Wilkesboro, NC 28659-3122 - Phone
- (336) 667-0900
- Fax
- (336) 667-5884
- NPI assigned
- Jan 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 10372 | NC | Primary |
Addresses
Primary practice location
240 Sparta Rd
North Wilkesboro, NC 28659-3122
Mailing address
240 Sparta Rd
North Wilkesboro, NC 28659-3122
Phone (336) 667-0900
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10372 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293926400000",
"number": "1336443522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 SPARTA RD",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593122",
"telephone_number": "336-667-0900",
"fax_number": "336-667-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 SPARTA RD",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593122",
"telephone_number": "336-667-0900",
"fax_number": "336-667-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "MARCIA",
"middle_name": "GRAVITT",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-02",
"last_updated": "2011-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.