Richard Telck, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

SO23551 Issued in AZ

Practice address

7720 E. Highway 69
Prescott Valley, AZ 86314

Phone

(928) 772-7673

NPI assigned

Sep 6, 2018

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1918 Winter Street Operating Co LLC

  dba Safeway Pharmacy #1055

  • Community/Retail Pharmacy
  • Prescott Valley, AZ
  • NPI 1356112833
  NPD
• Safeway Inc

  dba Safeway Pharmacy #1055

  • Community/Retail Pharmacy
  • Prescott Valley, AZ
  • NPI 1720017767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1003398983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 E STEVENS DR APT B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141108",
            "telephone_number": "307-389-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 E. HIGHWAY 69",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-772-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011642",
            "country_code": "US",
            "telephone_number": "928-445-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELCK",
        "first_name": "RICHARD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "SO23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara K Taylor-Hillyer, LCSW
• Donna Dellinger Taylor
• Theresa Ann Taylor, RN
• Margaret Tays, SPEECH THERAPIST
• Tea and Empathy, PLLC
• Kimberleigh Telling, FNP-C
• Neil Harvey Tewes, RPH
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Prescott Valley)
• The Highway: a Self-Harm and Suicide Prevention Service
• The Pines at Prescott Valley LLC (Ativo Senior Living Prescott Valley)

• Pharmacist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.