Individual provider Active NPI

Thomas Richard Reynolds, RPH

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1659942860
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030993 Issued in NY
Practice address
6428 108TH St
Forest Hills, NY 11375-1611
Phone
(718) 459-7711
Fax
(718) 459-7713
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030993 NY Primary

Addresses

Primary practice location

6428 108TH St
Forest Hills, NY 11375-1611

Mailing address

21104 23Rd Ave Apt 3
Bayside, NY 11360-1991
Phone (917) 279-0475

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
030993NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
TZ5 Corp CurrentSince May 18, 2025 Accepting new patients
Rizco Drugs Inc. PastSince Jul 17, 2021 Accepting new patients

Locations

6428 108th St
Forest Hills, NY 11375
Phone (718) 459-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1659942860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21104 23RD AVE APT 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601991",
            "telephone_number": "917-279-0475",
            "fax_number": "718-229-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751611",
            "telephone_number": "718-459-7711",
            "fax_number": "718-459-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.