Organization
REAGAN'S PHARMACY INC.
Active
Other names
Reagan's Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF B. REAGAN (PRESIDENT)
(770) 483-4727
Entity
Organization
Contact information
Practice address
1340 KLONDIKE RD SW, CONYERS, GA 30094-5102
(770) 483-4727
(770) 278-0003
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE007176
GA
332BC3200X
Customized Equipment (DME)
PHRE007176
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHRE007176
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
PHRE007176
GA
333600000X
Pharmacy
PHRE007176
GA
3336C0003X
Community/Retail Pharmacy
PHRE007176
GA
3336H0001X
Home Infusion Therapy Pharmacy
PHRE007176
GA
3336L0003X
Long Term Care Pharmacy
PHRE007176
GA
3336M0002X
Mail Order Pharmacy
PHRE007176
GA
3336S0011X
Specialty Pharmacy
Primary
PHRE007176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033899B
—
GA
01
—
1103249
NABP
GA
01
—
277631
BCBS
GA
Enumeration date
12/06/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us