Marion Daniela Richgruber

Primary specialty

PharmacistTaxonomy code 183500000X

License

25810 Issued in NC

Practice address

2655 Reilly St BLDG 4-175
Fort Bragg, NC 28310-8757

Phone

(910) 907-6112

NPI assigned

Aug 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1124792767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROOM SEDGE LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872164",
            "telephone_number": "804-638-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 REILLY ST BLDG 4-175",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283108757",
            "telephone_number": "910-907-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHGRUBER",
        "first_name": "MARION",
        "middle_name": "DANIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Richard, QP, MSW, LCSW
• Heidi Richardson, PA-C
• Joseph M Richardson, DDS
• Tanissea Richardson
• William Richardson
• Edward Richter, LCSW
• Matthew Richter, M.D.
• Ross Riddle, DO
• Adam Ibrahim Rifaat, MD
• Annie Marlene Riley-Bussey, MD

• Pharmacist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.