Active NPI
Roger Dale St.Clair Jr., PHARM.D.
- Pharmacist
- Richmond, VA
National Provider Identifier
1104062132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202208333
- Practice address
- 2015 Staples Mill Rd
Richmond, VA 23230-3108 - Phone
- (804) 354-7000
- NPI assigned
- Dec 22, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000034094 | TN | |
| Pharmacist | 183500000X | 025333 | GA | |
| Pharmacist | 183500000X | 0202208333 | VA | Primary |
Addresses
Primary practice location
2015 Staples Mill Rd
Richmond, VA 23230-3108
Mailing address
10448 Lakeridge Pkwy
Ashland, VA 23005-8124
Phone (804) 550-4859
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 |
|---|---|---|---|
| 025333 | GA | MD | Pharmacist |
| 0000034094 | TN | MD | Pharmacist |
| 0202208333 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1104062132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10448 LAKERIDGE PKWY",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230058124",
"telephone_number": "804-550-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 STAPLES MILL RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303108",
"telephone_number": "804-354-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.CLAIR",
"first_name": "ROGER",
"middle_name": "DALE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-22",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000034094",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "025333",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.