Active NPI
Katina Richmond, PHARMD
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1063719466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10596
- Practice address
- 4779 Highway 501
Myrtle Beach, SC 29579-9444 - Phone
- (843) 903-5695
- Fax
- (843) 903-4820
- NPI assigned
- Feb 21, 2011
- Last updated
- Nov 1, 2021
- Sex
- Female
- 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 | 10596 | SC | Primary |
Addresses
Primary practice location
4779 Highway 501
Myrtle Beach, SC 29579-9444
Mailing address
186 Jessica Lakes Dr
Conway, SC 29526-8292
Phone (843) 465-1556
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 |
|---|---|---|---|
| 10596 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1063719466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 JESSICA LAKES DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268292",
"telephone_number": "843-465-1556",
"fax_number": "843-347-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4779 HIGHWAY 501",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295799444",
"telephone_number": "843-903-5695",
"fax_number": "843-903-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "KATINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.