Active NPI
Diane M Redick, RPH
- Pharmacist
- Berkeley Springs, WV
National Provider Identifier
1891829024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4556
- Practice address
- 261 Berkmore Place
Suite 1C
Berkeley Springs, WV 25411 - Phone
- (304) 258-3800
- Fax
- (304) 258-2630
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4556 | WV | Primary |
| Pharmacist | 183500000X | 12037 | MD |
Addresses
Primary practice location
261 Berkmore Place
Suite 1C
Berkeley Springs, WV 25411
Mailing address
2737 Pious Ridge Road
Berkeley Springs, WV 25411
Phone (304) 258-6376
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12037 | MD | MD | Dentist |
| 4556 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reeds Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891829024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 PIOUS RIDGE ROAD",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "25411",
"telephone_number": "304-258-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 BERKMORE PLACE",
"address_2": "SUITE 1C",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "25411",
"telephone_number": "304-258-3800",
"fax_number": "304-258-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDICK",
"first_name": "DIANE",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "4556",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.