REEVES DRUG STORE INC. NPI 1194705756

NPI Information

  • NPI: 1194705756
  • Provider Name: REEVES DRUG STORE, INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: REEVES DRUG STORE INC
  • Address: 125 N 1ST ST
    PULASKI, TN
    ZIP 38478
  • Phone: (931) 363-2561

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NPI Details

REEVES DRUG STORE, INC. is a community/retail pharmacy pharmacy in Pulaski, TN. 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. REEVES DRUG STORE, INC. NPI is 1194705756. The provider is registered as an organization entity type.
The provider Is Doing Business As Reeves Drug Store Inc.

The provider's business location address is:

125 N 1ST ST
PULASKI, TN
ZIP 38478-214
Phone: (931) 363-2561
Fax: (931) 424-3284

The provider's authorized official is Darden F Heritage .
The authorized official title is Owner And President and has the following contact phone number (256) 534-1118.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 1/19/2006 and was last updated on 10/30/2023.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy0000001079TENNESSEEYes

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
1Q035645MEDICAIDTENNESSEE
22095989OTHERPK

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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