JESSICA REYNOLDS (NPI# 1235655754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235655754 |
| Entity Type | Individual |
| Full Name | JESSICA REYNOLDS |
| Other Name | JESSIE REYNOLDS |
| Practice Address |
204 W Hill Blvd Charleston Afb SC 29404-4704 |
| Practice Telephone | 8439636833 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37338 | SC | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 261 Calhoun St, Charleston, SC 294011371 | 8438056022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793663 | Jessica Reynolds | Registered Nurse | 2645 N Walnut Ave, Tucson, AZ 85712-1827 | 2015-03-04 |
| 1538587670 | Jessica Alyse Reynolds | Speech-Language Pathologist | 1549 Ravana Dr, Orlando, FL 32822-8029 | 2014-04-05 |
| 1013226224 | Jessica Lynn Reynolds | Occupational Therapist | 56 Country Club Dr, Mount Marion, NY 12456 | 2010-10-05 |
| 1194336685 | Jessica Reynolds | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-08-10 |
| 1396375598 | Jessica S Reynolds | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224-6980 | 2020-01-16 |
| 1205475373 | Jessica Ann Reynolds | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2020-01-06 |
| 1285198580 | Jessica Reynolds | Behavior Technician | 17b Caledon Ct, Greenville, SC 29615-3170 | 2019-01-31 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1164901575 | Jessica H Reynolds | Physical Medicine & Rehabilitation | 843 Wake Forest Business Park Ste 110, Wake Forest, NC 27587-6578 | 2018-08-08 |
| 1518443217 | Jessica Reynolds | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2018-07-16 |
| Street Address |
204 W HILL BLVD |
| City | CHARLESTON AFB |
| State | SC |
| Zip Code | 29404-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186360 | Darrell Kevin Tegtmeyer | Physician Assistant | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2005-09-30 |
| 1164080768 | Eric Wayne Robertson | Registered Nurse | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2019-05-30 |
| 1467938290 | Nicholas Trudo | Physician Assistant | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2018-07-16 |
| 1356871032 | Karina Cortes | Military Health Care Provider | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2017-06-15 |
| 1093250839 | Thi Nguyen | Pharmacist | 204 W Hill Blvd, 628th Medical Group, Charleston Afb, SC 29404-4704 | 2017-01-03 |
| 1952857393 | Krystal Hasselvander | Social Worker | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2016-08-26 |
| 1447650502 | Jeffrey Chase Yee | Dentist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2014-08-26 |
| 1659770980 | Khiem Nguyen | Dentist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2014-08-22 |
| 1063852978 | Chantell Renee Mckee | Family Medicine | 204 W Hill Blvd, Charleston Afb, SC 29404 | 2013-06-25 |
| 1114261526 | Brett Randall | Military Health Care Provider | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751971 | James Tyrone Wilder | Social Worker | B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 | 2017-10-23 |
| 1033422902 | Michael Ryan Moore | Physical Therapist | 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 | 2010-07-21 |
| 1720221013 | Cristy Jo Preslar | Military Health Care Provider | 364 Arthur Drive, Charleston Afb, SC 29404 | 2009-04-16 |
| 1336237627 | Douglas Vail Campbell | Psychologist | 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 | 2006-10-11 |
| 1124019914 | Neal Robert Taylor | Family Medicine | 628 Medical Group 204 W. Hill Blvd, Jb Charleston, SC 29404 | 2005-11-02 |
| 1295092328 | Suzanne M O'shea | Registered Nurse | 204 W. Hill Blvd, Charleston, SC 29404-0000 | 2012-04-13 |
| 1306281373 | Michelle Karen Calandra | Registered Nurse | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-05-06 |
| 1336560440 | Merin Williams | Speech-Language Pathologist | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-12-17 |
| 1154884468 | Palmetto Pa Assist, LLC | Physician Assistant | 101 Lawson Dr # 103, Charleston, SC 29404-2121 | 2019-04-12 |
| 1750811089 | Radiant Neuromonitoring LLC | Psychiatry & Neurology | 101 Lawson Dr # 104, Charleston, SC 29404-2121 | 2017-06-19 |
| Find all providers in zip 29404 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093250839 | Thi Nguyen | Pharmacist | 204 W Hill Blvd, 628th Medical Group, Charleston Afb, SC 29404-4704 | 2017-01-03 |
| 1275646226 | Karen Berkeley | Pharmacist | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON AFB |
| Zip Code | 29404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.