Active NPI
Rozanne Arline Reynolds, PHARMACIST
- Pharmacist
- Everett, WA
National Provider Identifier
1649563172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00014874
- Practice address
- 3305 Nassau St
Everett, WA 98201-4140 - Phone
- (425) 258-7340
- Fax
- (425) 252-8157
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00014874 | WA | Primary |
Addresses
Primary practice location
3305 Nassau St
Everett, WA 98201-4140
Mailing address
3305 Nassau St
Everett, WA 98201-4140
Phone (425) 258-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00014874 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1649563172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 NASSAU ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014140",
"telephone_number": "425-258-7340",
"fax_number": "425-252-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 NASSAU ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014140",
"telephone_number": "425-258-7340",
"fax_number": "425-252-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ROZANNE",
"middle_name": "ARLINE",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00014874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.