Geoffrey W. Reynolds, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00017863 Issued in WA

Practice address

15418 Main St
Suite 106
Mill Creek, WA 98012

Phone

(425) 225-8010

NPI assigned

Feb 9, 2007

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

Other identifiers 1

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.

• Optum Care Washington PLLC

  • Community/Retail Pharmacy
  • Mill Creek, WA
  • NPI 1699844936
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497896930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 55TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905183",
            "telephone_number": "425-397-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 MAIN ST",
            "address_2": "SUITE 106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-225-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GEOFFREY",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00017863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PH00017863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Lowson Reimers, LICSW,
• Lauren Louise Reinhard, PT
• Rachel C Reinhardt, M.D.
• Timothy Martin Reisenauer, PH.D.
• Natalie Maria Reyes, APRN
• Theresia Annette Richardson, MA.ED., LMHCA
• Justin Rigoloso, ARNP
• Caroline Lea Rinke, PHD
• Amanda Robieson
• Vanessa Rosas Goble, CTRS/R, OTR

• Pharmacist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.