Individual provider Active NPI

Harrison Reynolds, PHARM.D.

  • Pharmacist
  • Menlo Park, CA
National Provider Identifier
1801218250
Registry record updated Jan 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH37872 Issued in CA
Practice address
85 Loyola Ave
Menlo Park, CA 94025-3810
Phone
(650) 465-0201
Fax
(650) 364-0144
NPI assigned
Jan 19, 2014
Last updated
Jan 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH37872 CA Primary

Addresses

Primary practice location

85 Loyola Ave
Menlo Park, CA 94025-3810

Mailing address

85 Loyola Ave
Menlo Park, CA 94025-3810
Phone (650) 465-0201

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

LicenseStateTypeSpecialty
RPH37872CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1390089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390089600000",
    "number": "1801218250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LOYOLA AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253810",
            "telephone_number": "650-465-0201",
            "fax_number": "650-364-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LOYOLA AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253810",
            "telephone_number": "650-465-0201",
            "fax_number": "650-364-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-19",
        "last_updated": "2014-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH37872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2014; 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.