Reda Pharmacy LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

015817 Issued in NY

Legal business name

REDA PHARMACY LTD

Practice address

811 Chestnut Ridge Rd
The Barn Store G
Chestnut Ridge, NY 10977-6330

Phone

(845) 425-8787

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brendan Reda, R.PH.

Title

Owner

Phone

(845) 425-8787

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417989534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHESTNUT RIDGE RD",
            "address_2": "THE BARN STORE G",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776330",
            "telephone_number": "845-425-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHESTNUT RIDGE RD",
            "address_2": "THE BARN STORE G",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776330",
            "telephone_number": "845-425-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDA PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDA",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-425-8787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00392690",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3363099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nuranisa Rae
• Lydda Ragasa, MS, CCC-SLP
• Rochelle Rand
• Adele Rapp
• Tamar Raymond
• Riverside Medical P.C
• Michael Adam Rosenblum, RPH
• Toby Roth, OSC
• Maria Russo
• Nancy A Ryan, R.PH

• Community/Retail Pharmacy in Chestnut Ridge, NY
• Providers in Chestnut Ridge, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.