Individual provider Active NPI

Duane Anthony Richardson, PHARM D

  • Pharmacist
  • Magnolia, DE
National Provider Identifier
1255875233
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0003619 Issued in DE
Practice address
623 Sedgewick Dr
Magnolia, DE 19962-3207
Phone
(267) 235-2664
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0003619 DE Primary
Pharmacist 183500000X RP440333 PA

Addresses

Primary practice location

623 Sedgewick Dr
Magnolia, DE 19962-3207

Mailing address

623 Sedgewick Dr
Magnolia, DE 19962-3207
Phone (267) 235-2664

Other identifiers 3

IdentifierTypeStateIssuer
RP440333OtherPAPHARMACY LICENSE
A1-0003619OtherDEPHARMACY LICENSE
240705OtherDENABP

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
A1-0003619DEMDPharmacist
RP440333PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1255875233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 SEDGEWICK DR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623207",
            "telephone_number": "267-235-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SEDGEWICK DR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623207",
            "telephone_number": "267-235-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DUANE",
        "middle_name": "ANTHONY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003619",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP440333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "A1-0003619",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "240705",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.