Active NPI
James Doyle Richardson, RPH, BS
- Pharmacist
- Walnut Cove, NC
National Provider Identifier
1093321739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06604
- Practice address
- 1072 N Main St Ste 103
Walnut Cove, NC 27052-9312 - Phone
- (336) 591-4345
- Fax
- (336) 591-3435
- NPI assigned
- Sep 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 06604 | NC | Primary |
Addresses
Primary practice location
1072 N Main St Ste 103
Walnut Cove, NC 27052-9312
Mailing address
PO Box 128
Walnut Cove, NC 27052-0128
Phone (336) 591-4345
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06604 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hicks Pharmacy LLC | 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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Walnut Cove, NC
- NPI 1740284298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1093321739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270520128",
"telephone_number": "336-591-4345",
"fax_number": "336-591-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 N MAIN ST STE 103",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270529312",
"telephone_number": "336-591-4345",
"fax_number": "336-591-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JAMES",
"middle_name": "DOYLE",
"name_prefix": "Mr.",
"credential": "RPH, BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "06604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
- Lydia Spencer Peck, MS, BCBA
- Pioneer Health Services of Stokes County, Inc.
- Betty Presnell
- Quad County Group Homes for Emotionally Disturbed Children, Inc.
- Reynolds Care Support, LLC
- Ridge Care Management, Inc.
- Amanda Lin Robertson
- Breanna Nicole Robertson, MS, LCAS-A
- Sandra Mitchell Robertson, PTA
- Olivia Caroline Roten, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.