Organization Active NPI

Reeves Drug Store Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pulaski, TN
National Provider Identifier
1508836701
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000741 Issued in TN
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

Updated by the provider on Aug 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3545832MedicaidTN

Other names 1

  • Reeves Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reeves Drug Store3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.