Individual provider Active NPI

Paul E Reed, DPH

  • Pharmacist
  • Ardmore, OK
National Provider Identifier
1750726246
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11014 Issued in OK
Practice address
814 W Broadway St
Ardmore, OK 73401-4527
Phone
(580) 223-7636
Fax
(580) 223-0320
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11014 OK Primary
Pharmacist 183500000X 28216 TX

Addresses

Primary practice location

814 W Broadway St
Ardmore, OK 73401-4527

Mailing address

814 W Broadway St
Ardmore, OK 73401-4527
Phone (580) 223-7636

Other identifiers 2

IdentifierTypeStateIssuer
11014OtherOKOKLAHOMA REGISTERED PHARMACIST
28216OtherTXTEXAS PHARMACY

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

State licenses

LicenseStateTypeSpecialty
11014OKMDPharmacist
28216TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ardmore Family Pharmacy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1750726246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014527",
            "telephone_number": "580-223-7636",
            "fax_number": "580-223-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014527",
            "telephone_number": "580-223-7636",
            "fax_number": "580-223-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11014",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA REGISTERED PHARMACIST",
            "identifier": "11014",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY",
            "identifier": "28216",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.