Active NPI
Makita Demetrius Reed, PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1780052431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E14002
- Practice address
- 8700 W Trail Lake Dr
Memphis, TN 38125-8205 - Phone
- (901) 309-1404
- NPI assigned
- Sep 11, 2015
- 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 | E14002 | MS | Primary |
Addresses
Primary practice location
8700 W Trail Lake Dr
Memphis, TN 38125-8205
Mailing address
4366 Pinehurst Blvd
Southaven, MS 38672-6687
Phone (901) 830-7077
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 |
|---|---|---|---|
| E14002 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1780052431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4366 PINEHURST BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726687",
"telephone_number": "901-830-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 W TRAIL LAKE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258205",
"telephone_number": "901-309-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "MAKITA",
"middle_name": "DEMETRIUS",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E14002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.