Randy W Reese, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

041986 Issued in MO

Practice address

5 Bayberry LN
Saint Peters, MO 63376-2617

Phone

(131) 427-7360

NPI assigned

Jun 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Weldon Spring, MO
  • NPI 1700893716
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671926400000",
    "number": "1912639352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BAYBERRY LN",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762617",
            "telephone_number": "131-427-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "RANDY",
        "middle_name": "W",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-12-25",
        "certification_date": "2022-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy@modernmedicalhypnosis.com",
            "affiliation": "N",
            "address_1": "5 Bayberry Ln",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633762617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy@modernmedicalhypnosis.com",
            "affiliation": "N",
            "address_1": "5 Bayberry Ln",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633762617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Recovery Transitions, LLC
• Jennifer A Redfern, O.D.
• Jonathan Jude Reed, MD
• Michael C Reed, DPT
• Ransom Clay Reed, D.D.S.
• Regal Behavior Solutions, LLC
• Regimed Medical
• Rehab Care Group
• John Bradley Reinker, CRNA
• Lauren Rekowski, PHARMD

• Pharmacist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2022; 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.