Richardson Medical Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008341 Issued in MI

Legal business name

RICHARDSON MEDICAL PHARMACY, INC.

Practice address

29800 Southfield Rd
Southfield, MI 48076-2037

Phone

(248) 557-6900

Fax

(248) 557-6901

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wael Khanafer

Title

Pic

Phone

(313) 412-4622

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1083757140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29800 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762037",
            "telephone_number": "248-557-6900",
            "fax_number": "248-557-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762037",
            "telephone_number": "248-557-6900",
            "fax_number": "248-557-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON MEDICAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "KHANAFER",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-412-4622"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2366967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ju'Niya Richard
• Janell Richards-McWilliams, LMSW
• Boyd Richards, DO
• Caitlin Richards
• Nancy L Richards, CRNA
• Carmela Altamses Richardson, LLMSW,LPN
• Cassandra Lynn Richardson
• Dionne Richardson, BS CM MSW
• Elizabeth Richardson
• Eric James Richardson, D.D.S., M.S.

• Community/Retail Pharmacy in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.