Reynolds Drug Store, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50-000630 Issued in SC

Legal business name

REYNOLDS DRUG STORE, INC.

Practice address

7 S Morgan Ave
Andrews, SC 29510-2645

Phone

(843) 264-5454

Fax

(843) 264-8362

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Julian A. Reynolds Jr., PHARMACIST

Title

Pres.

Phone

(843) 264-5454

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Thigpen Legge, PHARMD

  • Pharmacist
  • Andrews, SC
  • NPI 1275126278
  NPD
• Lisa Morris

  • Pharmacist
  • Andrews, SC
  • NPI 1467826883
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1831218429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S MORGAN AVE",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102645",
            "telephone_number": "843-264-5454",
            "fax_number": "843-264-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MORGAN AVE",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102645",
            "telephone_number": "843-264-5454",
            "fax_number": "843-264-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "843-264-5454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50-000630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1728",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NACPDP NUMBER",
            "identifier": "4202292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706307",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Harper Moore, DMD
• Lisa Morris
• Thomas Ostavus Morris, R.PH.
• Piggly Wiggly Andrews, Inc.
• Diamond Strong Powell
• Reynolds Drug Strore Inc
• Sherrie B Richardson, APRN
• Ruthlouis Adult Health Day Care, Inc.
• Courtney Session
• Richard Gregory Simpson, RPH

• Durable Medical Equipment & Medical Supplies in Andrews, SC
• Providers in Andrews, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.