Active NPI
Reeves Drug Store Inc.
- Durable Medical Equipment & Medical Supplies
- Pulaski, TN
National Provider Identifier
1508836701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000741
- Legal business name
- REEVES DRUG STORE INC.
- Practice address
- 125 N 1St St
Pulaski, TN 38478-3214 - Phone
- (931) 363-0137
- Fax
- (931) 424-8687
- NPI assigned
- Jan 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trent McLemore, PHARMD
- Title
- Director of Pharmacy
- Phone
- (256) 566-7980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000741 | TN | Primary |
Addresses
Primary practice location
125 N 1St St
Pulaski, TN 38478-3214
Mailing address
125 N 1St St
Pulaski, TN 38478-3214
Phone (931) 363-0137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3545832 | Medicaid | TN |
Other names 1
- Reeves Home Health Care
National Provider Directory
National Provider Directory- Tax ID family
- Reeves Drug Store
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pulaski, TN
- NPI 1902679194
-
- Community/Retail Pharmacy
- Pulaski, TN
- NPI 1194705756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1508836701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N 1ST ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783214",
"telephone_number": "931-363-0137",
"fax_number": "931-424-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 1ST ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783214",
"telephone_number": "931-363-0137",
"fax_number": "931-424-8687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REEVES DRUG STORE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-23",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "MCLEMORE",
"authorized_official_first_name": "TRENT",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "256-566-7980",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3545832",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reeves Home Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Reeves Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.