Active NPI
Robin Rashaun Vidal, PHARM D
- Pharmacist
- Biloxi, MS
National Provider Identifier
1083923148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10626
- Practice address
- 19640 Highway 67
Biloxi, MS 39532-8666 - Phone
- (228) 702-1856
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18051 | LA | |
| Pharmacist | 183500000X | 10626 | MS | Primary |
Addresses
Primary practice location
19640 Highway 67
Biloxi, MS 39532-8666
Mailing address
4642 Owens Blvd
New Orleans, LA 70122-1225
Phone (504) 250-2679
Other practice location 1
11022 Highway 49
Gulfport, MS 39503-4110
Phone (228) 832-8981
Other names 1
- Dr. Robin R Riley
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 |
|---|---|---|---|
| 18051 | LA | MD | Pharmacist |
| 10626 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Hattiesburg, MS
- NPI 1760404453
-
- Pharmacy
- Gulfport, MS
- NPI 1134228448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1083923148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4642 OWENS BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701221225",
"telephone_number": "504-250-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19640 HIGHWAY 67",
"city": "BILOXI",
"state": "MS",
"postal_code": "395328666",
"telephone_number": "228-702-1856"
}
],
"practiceLocations": [
{
"address_1": "11022 Highway 49",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395034110",
"country_code": "US",
"telephone_number": "228-832-8981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDAL",
"first_name": "ROBIN",
"middle_name": "RASHAUN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18051",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "10626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "RILEY",
"middle_name": "R",
"prefix": "DR.",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.