Individual provider Active NPI

Richard V Roundy, RPH

  • Pharmacist
  • Cedar City, UT
National Provider Identifier
1063012474
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
132774 Issued in UT
Practice address
1330 S Providence Center Dr
Cedar City, UT 84720-3956
Phone
(435) 586-0155
Fax
(435) 586-2017
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 132774 UT Primary

Addresses

Primary practice location

1330 S Providence Center Dr
Cedar City, UT 84720-3956

Mailing address

1330 S Providence Center Dr
Cedar City, UT 84720-3956
Phone (435) 586-0155

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
132774UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1063012474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S PROVIDENCE CENTER DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203956",
            "telephone_number": "435-586-0155",
            "fax_number": "435-586-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S PROVIDENCE CENTER DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203956",
            "telephone_number": "435-586-0155",
            "fax_number": "435-586-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDY",
        "first_name": "RICHARD",
        "middle_name": "V",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "132774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.