Amy Richmond, PHARMD

Individual provider Active NPI Pharmacist · Beulaville, NC

NPI 1104151034 · NPPES record last updated May 17, 2014

Key facts

NPI
1104151034
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19594 (NC)
Practice address
115 W Main St
Beulaville, NC 28518-8803
Phone
(910) 298-9172
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19594NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Mar 27, 2022
Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19594 NC Yes

Addresses

Primary practice location

115 W Main St
Beulaville, NC 28518-8803

Mailing address

115 W Main St
Beulaville, NC 28518-8803
Phone (910) 298-9172

Other providers in Beulaville, NC

All providers in Beulaville, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.