Active NPI
Richards Pharmacy Inc
- Pharmacy
- Des Moines, IA
National Provider Identifier
1194893537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 89
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J Richards, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98985 | Other | IA | WELLMARK IOWA |
| 1601740 | Other | IA | NABP |
| 0043877 | Medicaid | IA | |
| 1194893537 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Des Moines, IA
- NPI 1902974355
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.