David A Reagan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

029310 Issued in NY

Practice address

110 Bolivar Rd
Wellsville, NY 14895-9303

Phone

(585) 593-1232

Fax

(585) 593-4954

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1881875623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959303",
            "telephone_number": "585-593-1232",
            "fax_number": "585-593-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959303",
            "telephone_number": "585-593-1232",
            "fax_number": "585-593-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00915802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Ann Prull, MD
• Mahbubur Rahman, DDS
• Karan Nagarakere Ramakrishna, M.B.B.S
• Krishna Kavita Ramavath, MD
• Thomas G Raterman
• Sophia Rhoades
• Denise Lynn Richardson, RN
• Steven Richardson
• Robert L. Gilfert, DPM
• Richard E Rogenthien, OD

• Pharmacist in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.