Active NPI
Laura E Reynolds, PHARMD
- Pharmacist
- Greensboro, NC
National Provider Identifier
1720635006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25753
- Practice address
- 3230 Randleman Rd
Greensboro, NC 27406-6565 - Phone
- (910) 385-7991
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 25753 | NC | Primary |
Addresses
Primary practice location
3230 Randleman Rd
Greensboro, NC 27406-6565
Mailing address
314 S Kennedy St
Beulaville, NC 28518-6904
Phone (910) 385-7991
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25753 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1720635006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S KENNEDY ST",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285186904",
"telephone_number": "910-385-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 RANDLEMAN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274066565",
"telephone_number": "910-385-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LAURA",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.