Individual provider Active NPI

Alicia K Richardson, PHARMD, BSPS, RPH

  • Pharmacist
  • Wauseon, OH
National Provider Identifier
1083215545
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03234202 Issued in OH
Practice address
485 Airport Hwy
Wauseon, OH 43567-8709
Phone
(419) 337-8122
Fax
(419) 337-8492
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 03234202 OH Primary

Addresses

Primary practice location

485 Airport Hwy
Wauseon, OH 43567-8709

Mailing address

15629 County Rd N
Napoleon, OH 43545-6702
Phone (419) 591-8449

Other names 1

  • Alicia K Rausch Former name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03234202OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1083215545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15629 COUNTY RD N",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435456702",
            "telephone_number": "419-591-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 AIRPORT HWY",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678709",
            "telephone_number": "419-337-8122",
            "fax_number": "419-337-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ALICIA",
        "middle_name": "K",
        "credential": "PHARMD, BSPS, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03234202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "RAUSCH",
            "middle_name": "K",
            "credential": "PHARMD, BSPS, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.