Organization Active NPI

Richards Pharmacy Inc

  • Pharmacy
  • Des Moines, IA
National Provider Identifier
1194893537
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
89 Issued in IA
Legal business name
RICHARDS PHARMACY INC
Practice address
5625 Hickman Rd
Des Moines, IA 50310-1119
Phone
(515) 274-4001
Fax
(515) 274-5471
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mr. Mark J Richards, RPHNPI 1902974355
Title
President
Phone
(515) 274-4001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 89 IA Primary

Addresses

Primary practice location

5625 Hickman Rd
Des Moines, IA 50310-1119

Mailing address

5625 Hickman Rd
Des Moines, IA 50310-1119
Phone (515) 274-4001

Other identifiers 4

IdentifierTypeStateIssuer
98985OtherIAWELLMARK IOWA
1601740OtherIANABP
0043877MedicaidIA
1194893537MedicaidIA

National Provider Directory

National Provider Directory

Locations

5625 Hickman Rd
Des Moines, IA 50310
Phone (515) 274-4001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1194893537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101119",
            "telephone_number": "515-274-4001",
            "fax_number": "515-274-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101119",
            "telephone_number": "515-274-4001",
            "fax_number": "515-274-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-274-4001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK IOWA",
            "identifier": "98985",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1601740",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043877",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194893537",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.