NPIMap

Organization Active NPI

Richard D. Mulder

  • Pharmacist
  • Oakland, NE
National Provider Identifier
1285739136
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10882 Issued in NE
Legal business name
RICHARD D. MULDER
Practice address
301 N Oakland Ave
Oakland, NE 68045-1132
Phone
(402) 685-5883
Fax
(402) 685-5173
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Mr. Richard Dean Mulder, RPH
Title
Owner
Phone
(402) 685-5883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 10882 NE Primary

Addresses

Primary practice location

301 N Oakland Ave
Oakland, NE 68045-1132

Mailing address

301 N Oakland Ave
Oakland, NE 68045-1132
Phone (402) 685-5883

Other identifiers 1

IdentifierTypeStateIssuer
1285739136MedicaidNE

Other names 1

  • Corner Drug Doing business as

National Provider Directory

National Provider Directory

Locations

301 N Oakland Ave
Oakland, NE 68045
Phone (402) 685-5883

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1285739136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N OAKLAND AVE",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680451132",
            "telephone_number": "402-685-5883",
            "fax_number": "402-685-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N OAKLAND AVE",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680451132",
            "telephone_number": "402-685-5883",
            "fax_number": "402-685-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. MULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-685-5883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285739136",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.