Active NPI
Darren Charles Riley, PHARMD.
- Pharmacist
- Gautier, MS
National Provider Identifier
1033646906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-14679
- Practice address
- 2105 Old Spanish TRL
Gautier, MS 39553-6000 - Phone
- (228) 205-7700
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-14679 | MS | Primary |
Addresses
Primary practice location
2105 Old Spanish TRL
Gautier, MS 39553-6000
Mailing address
1408 W Willow St Apt 1102
Lafayette, LA 70506-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14679 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1033646906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 W WILLOW ST APT 1102",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705061034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 OLD SPANISH TRL",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395536000",
"telephone_number": "228-205-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "DARREN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-14679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.