Organization Active NPI

Reeds Pharmacy LLC

  • Community/Retail Pharmacy
  • Berkeley Springs, WV
National Provider Identifier
1609958487
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552297 Issued in WV
Legal business name
REEDS PHARMACY LLC
Practice address
261 Berkmore PL
Ste 1C
Berkeley Springs, WV 25411-6247
Phone
(304) 258-3800
Fax
(304) 258-2670
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Ken Reed, RPH
Title
Ceo
Phone
(304) 258-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552297 WV Primary

Addresses

Primary practice location

261 Berkmore PL
Ste 1C
Berkeley Springs, WV 25411-6247

Mailing address

261 Berkmore PL
Ste 1C
Berkeley Springs, WV 25411-6247
Phone (304) 258-3800

Other identifiers 2

IdentifierTypeStateIssuer
0141848000MedicaidWV
2111380OtherPK

Other names 1

  • REEDS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000301 WV Part B Supplier - Mass Immunization (Roster Biller Only) 1254227465 Practice locations: Berkeley Springs, WV
O20100930091685 WV DME Supplier - Pharmacy 1254227465 Practice locations: Berkeley Springs, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Reeds Pharmacy LLC261 Berkmore PL, Berkeley Springs, WV 25411(304) 258-3800 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-… Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

261 Berkmore Pl
Ste 1C
Berkeley Springs, WV 25411
Phone (304) 258-3800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1609958487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BERKMORE PL",
            "address_2": "STE 1C",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116247",
            "telephone_number": "304-258-3800",
            "fax_number": "304-258-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BERKMORE PL",
            "address_2": "STE 1C",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116247",
            "telephone_number": "304-258-3800",
            "fax_number": "304-258-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-258-3800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141848000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REEDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.