Reynolds Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01841 Issued in MD

Legal business name

REYNOLDS PHARMACY INC

Doing business as

Reynolds Pharmacy

Practice address

22694 Washington St
Leonardtown, MD 20650

Phone

(301) 475-5557

Fax

(301) 475-6630

NPI assigned

Aug 18, 2006

Last updated

Mar 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Reynolds, RPH

Title

Owner

Phone

(301) 475-5557

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• REYNOLDS PHARMACY Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1831203819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22694 WASHINGTON ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-5557",
            "fax_number": "301-475-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-475-5557",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2105977",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781232900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REYNOLDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi S Rariden, EP
• Tahir Raza, MD
• Madison Re
• Keri Rene Reed
• Lars H. Reinhart, M.D.
• Paul V. Richard, LCSW-C
• Agnes Ridgell
• Ranew Ridha, MD
• Alexandria Rigby
• Sheryl Righter, RN

• Community/Retail Pharmacy in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.