Organization Active NPI

Richardsons Pharmacy

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1225257538
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
209865 Issued in KS
Legal business name
RICHARDSONS PHARMACY
Practice address
3510 N Ridge Rd
Ste 920
Wichita, KS 67205-1224
Phone
(316) 721-2626
Fax
(316) 721-4823
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Jan Gerber, RPH
Title
Vice Pres
Phone
(316) 721-2626

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X 209865 KS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3510 N Ridge Rd
Ste 920
Wichita, KS 67205-1224

Mailing address

3510 N Ridge Rd
Ste 920
Wichita, KS 67205-1224

Other identifiers 3

IdentifierTypeStateIssuer
1700598OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6014785701MedicaidKS
1700598OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

3510 N Ridge Rd
Ste 920
Wichita, KS 67205
Phone (316) 721-2626

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1225257538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "STE 920",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "STE 920",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224",
            "telephone_number": "316-721-2626",
            "fax_number": "316-721-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSONS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "316-721-2626",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209865",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1700598",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6014785701",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1700598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.