George Robert Rea, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-06345 Issued in MS

Practice address

108 Highway 12 E
Kosciusko, MS 39090-3304

Phone

(662) 289-1963

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

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.

• Mississippi CVS Pharmacy LLC

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)
• Mississippi CVS Pharmacy, L.L.C.

  • Pharmacy
  • Kosciusko, MS
  • NPI 1316046626
  NPD (past)
• Walgreen Co.

  • Pharmacy
  • Philadelphia, MS
  • NPI 1689702029
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1487244802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11765 HIGHWAY 35 N",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390904870",
            "telephone_number": "601-650-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGHWAY 12 E",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903304",
            "telephone_number": "662-289-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11765 Highway 35 N",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390904870",
            "country_code": "US",
            "telephone_number": "601-650-8838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 W Beacon St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393503203",
            "country_code": "US",
            "telephone_number": "601-389-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REA",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-06345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Health Aquisition Company
• Carley J Puckett, PHARMD
• Sarah Putt, OT
• Rad Medical LLC
• Mary Margaret Rawson, LPC, NCC
• Joy W Reynolds, NP-C
• Elizabeth Louise Rhea
• Brady L Richardson, MD
• Breck T Richardson, M.D.
• Allison Roach

• Pharmacist in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.