REIDSVILLE PHARMACY INC NPI 1104986710

NPI Information

  • NPI: 1104986710
  • Provider Name: REIDSVILLE PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 34D2324248
  • Address: 924 S SCALES ST
    REIDSVILLE, NC
    ZIP 27320
  • Phone: (336) 342-9175

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NPI Details

REIDSVILLE PHARMACY INC is a community/retail pharmacy pharmacy in Reidsville, NC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. REIDSVILLE PHARMACY INC NPI is 1104986710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

924 S SCALES ST
REIDSVILLE, NC
ZIP 27320-318
Phone: (336) 342-9175
Fax: (336) 634-1308

The provider's authorized official is Tammy Coble Hall .
The authorized official title is President and has the following contact phone number (336) 342-9175.

The CLIA number assigned to this NPI record is 34D2324248 - other - fire department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist4859NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13424683OTHERNORTH CAROLINANABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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