NPIMap

Individual provider Active NPI

Julie E Reves, D.PH.

  • Pharmacist
  • Tupelo, MS
National Provider Identifier
1851375356
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10119 Issued in TN
Practice address
702 W Main St
Tupelo, MS 38804-3734
Phone
(662) 840-4818
Fax
(662) 840-4816
NPI assigned
Nov 30, 2005
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-09108 MS
Pharmacist 183500000X 10119 TN Primary

Addresses

Primary practice location

702 W Main St
Tupelo, MS 38804-3734

Mailing address

908 Holly Hill Dr
Tupelo, MS 38801-2362
Phone (865) 660-8753

Other identifiers 1

IdentifierTypeStateIssuer
1851375356OtherTNPHARMACIST

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Tupelo Health Information Exchange (HIE)
Other URL CVS Health Information Exchange (HIE)

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
E-09108MSMDPharmacist
10119TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi CVS Pharmacy, L.L.C. PastSince Dec 27, 2020 Accepting new patients
Mississippi CVS Pharmacy LLC PastSince Dec 27, 2020 Accepting new patients

Organizations & group practices 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1851375356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 HOLLY HILL DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388012362",
            "telephone_number": "865-660-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043734",
            "telephone_number": "662-840-4818",
            "fax_number": "662-840-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVES",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09108",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "1851375356",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tupelo",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 W Main St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388043734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 W Main St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388043734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.