Active NPI
Nathan Richards
- Pharmacist
- Traverse City, MI
National Provider Identifier
1083408413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414585
- Practice address
- 3900 US 31 S
Traverse City, MI 49684-4447 - Phone
- (231) 922-9277
- NPI assigned
- Apr 9, 2025
- Last updated
- Apr 9, 2025
- 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 | 5302414585 | MI | Primary |
Addresses
Primary practice location
3900 US 31 S
Traverse City, MI 49684-4447
Mailing address
564 Gitchegumee Dr
Buckley, MI 49620-9552
Phone (248) 342-2306
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 |
|---|---|---|---|
| 5302414585 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, 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": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1083408413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 GITCHEGUMEE DR",
"city": "BUCKLEY",
"state": "MI",
"postal_code": "496209552",
"telephone_number": "248-342-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 US 31 S",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844447",
"telephone_number": "231-922-9277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
- Thomas James Rice
- Ashley Rich
- Richard C Schultz MD & Associates PC (Cass Street Ear, Nose & Throat Associates, P.C.)
- Janice R Richards, P.T.
- Jessica Lyn Richards, MSN, APRN, FNP-BC
- Christina A Richardson, DO
- Gerald Joseph Richardson, LLMSW
- Heather Richey, NP
- Shauna Joy Richey, FNP-BC
- Rose M Richmann, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.