Healthcare Provider Details

I. General information

NPI: 1124806658
Provider Name (Legal Business Name): BRIANNA REEDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 SPRING ST
GREENWOOD SC
29646-3860
US

IV. Provider business mailing address

130 EDINBOROUGH CIR APT 6
GREENWOOD SC
29649-1341
US

V. Phone/Fax

Practice location:
  • Phone: 864-725-4170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44123
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number33252
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: