Richard William Menard, PHARMD
Individual provider Active NPI Pharmacist · Crestwood, KY
NPI 1013517812 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1013517812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 016069 (KY)
- Practice address
- 6501 Veterans Memorial Pkwy
Crestwood, KY 40014-8694 - Phone
- (502) 241-3959
- Fax
- (502) 241-6694
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016069 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016069 | KY | Yes |
Addresses
Primary practice location
6501 Veterans Memorial Pkwy
Crestwood, KY 40014-8694
Mailing address
6501 Veterans Memorial Pkwy
Crestwood, KY 40014-8694
Phone (502) 241-3959
Other providers in Crestwood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.