Active NPI
Debra Flores Reynolds, PHARM.D.
- Pharmacist
- Platte City, MO
National Provider Identifier
1932489564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2009018212
- Practice address
- 2301 Running Horse Rd
Platte City, MO 64079-7703 - Phone
- (816) 431-0327
- NPI assigned
- Aug 26, 2011
- Last updated
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 012563 | KY | |
| Pharmacist | 183500000X | 2009018212 | MO | Primary |
Addresses
Primary practice location
2301 Running Horse Rd
Platte City, MO 64079-7703
Mailing address
12740 N Arbor Way
Platte City, MO 64079-7804
Phone (816) 858-7708
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012563 | KY | MD | Pharmacist |
| 2009018212 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1932489564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12740 N ARBOR WAY",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797804",
"telephone_number": "816-858-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 RUNNING HORSE RD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797703",
"telephone_number": "816-431-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DEBRA",
"middle_name": "FLORES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012563",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009018212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Platte City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.