Active NPI
Jeffrey Richards
- Pharmacist
- Valley Stream, NY
National Provider Identifier
1073999819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027135
- Practice address
- 177 Rockaway Ave
Valley Stream, NY 11580-5823 - Phone
- (516) 561-6480
- Fax
- (516) 561-6483
- NPI assigned
- Aug 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 027135 | NY | Primary |
Addresses
Primary practice location
177 Rockaway Ave
Valley Stream, NY 11580-5823
Mailing address
177 Rockaway Ave
Valley Stream, NY 11580-5823
Phone (516) 561-6480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027135 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable RX, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Valley Stream, NY
- NPI 1346283520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1073999819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 ROCKAWAY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805823",
"telephone_number": "516-561-6480",
"fax_number": "516-561-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 ROCKAWAY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805823",
"telephone_number": "516-561-6480",
"fax_number": "516-561-6483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.