Organization Active NPI

Reeves Drug Store Inc.

  • Long Term Care Pharmacy
  • Pulaski, TN
National Provider Identifier
1902679194
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REEVES DRUG STORE INC.
Practice address
125 N 1St St
Pulaski, TN 38478-3214
Phone
(931) 363-2561
Fax
(931) 424-3284
NPI assigned
Oct 31, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Trent McLemore, PHARMD
Title
Director of Pharmacy
Phone
(256) 566-7980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

125 N 1St St
Pulaski, TN 38478-3214

Mailing address

125 N 1St St
Pulaski, TN 38478-3214
Phone (931) 363-2561

National Provider Directory

National Provider Directory
Tax ID family
Reeves Drug Store Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 N 1st St
Pulaski, TN 38478
Phone (931) 363-2561

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1902679194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783214",
            "telephone_number": "931-363-2561",
            "fax_number": "931-424-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783214",
            "telephone_number": "931-363-2561",
            "fax_number": "931-424-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "256-566-7980",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.