Individual provider Active NPI

Charles Andrew Reynolds, PHARM.D., B.C.P.P.

  • Psychiatric Pharmacist
  • Northridge, CA
National Provider Identifier
1992791503
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
35835 Issued in CA
Practice address
9934 Donna Ave
Northridge, CA 91324-1203
Phone
(818) 701-5528
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P1300X 35835 CA Primary

Addresses

Primary practice location

9934 Donna Ave
Northridge, CA 91324-1203

Mailing address

18017 Chatsworth St # 376
Granada Hills, CA 91344-5608
Phone (818) 395-5366

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://reynoldsconsultants.com/ Other

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

LicenseStateTypeSpecialty
35835CAMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1992791503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 CHATSWORTH ST # 376",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-395-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 DONNA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241203",
            "telephone_number": "818-701-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., B.C.P.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "35835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://reynoldsconsultants.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact",
            "address_1": "9934 Donna Ave",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913241203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.