Active NPI
John Erik Richardson I, PHARMD
- Pharmacist
- Union Gap, WA
National Provider Identifier
1083138069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60748106
- Practice address
- 2519 Main St
Union Gap, WA 98903-1605 - Phone
- (509) 453-3603
- NPI assigned
- Aug 1, 2017
- Last updated
- Aug 1, 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 | PH60748106 | WA | Primary |
Addresses
Primary practice location
2519 Main St
Union Gap, WA 98903-1605
Mailing address
208 N 41St St Unit B
Yakima, WA 98901-1290
Phone (360) 500-3798
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 |
|---|---|---|---|
| PH60748106 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1083138069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N 41ST ST UNIT B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011290",
"telephone_number": "360-500-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 MAIN ST",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031605",
"telephone_number": "509-453-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JOHN",
"middle_name": "ERIK",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60748106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Gap, WA
- Sonia Perez, RN
- Sarah Matthea Perlman, CNP
- Prest Op LLC (Arcadia Healthcare Parkside)
- Jessica Renee Ramynke, LPN
- Renal Treatment Centers West Inc (Union Gap Dialysis)
- Douglas Robert Ricks, O.D.
- Stephen Ezra Robertson, PHARM.D.
- Benjamin R Rodriguez, MMS, PA-C
- Mandy J Rodriguez, LICSW
- Christopher Michael Rood, DNP, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.