Gary L. Reynolds, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009306 Issued in VA

Practice address

1055 E Main St
Pulaski, VA 24301-5217

Phone

(540) 994-9390

NPI assigned

May 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Grottoes, VA
  • NPI 1982319000
  NPD (past)

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304208000000",
    "number": "1669763108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015217",
            "telephone_number": "540-994-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015217",
            "telephone_number": "540-994-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-01",
        "last_updated": "2011-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009306",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007433",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "PH.13239",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026724-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulaski Urology, LLC
• Radiology Services International PC
• Ralph J. Hasspieler, M.D. P.C.
• Laura Reasor
• Hope Wheeling Reeves, CNA
• Amanda Rigney, LPC
• Emily Vaughan Ritchie, PHARMD
• Roanoke Physician Services, LLC
• Owen Roberts, M.D.
• Rebecca Williams Scott, FNP-C

• Pharmacist in Pulaski, VA
• Providers in Pulaski, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.