NPIMap

Organization Active NPI

Richmond Medical Group

  • Non-Pharmacy Dispensing Site
  • Manassas, VA
National Provider Identifier
1295051308
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
0101239490 Issued in VA
Legal business name
RICHMOND MEDICAL GROUP
Practice address
9715 Liberia Ave.
Manassas, VA 20110
Phone
(571) 229-1797
Fax
(571) 229-1798
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Marvin W Bridgers III, RPH
Title
Director of Pharmacy
Phone
(804) 822-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 0101239490 VA Primary

Addresses

Primary practice location

9715 Liberia Ave.
Manassas, VA 20110

Mailing address

9715 Liberia Ave
Manassas, VA 20110
Phone (571) 229-1797

Other names 1

  • PATIENT FIRST MANASSAS Other name

National Provider Directory

National Provider Directory
Tax ID family
Patient First Richmond Med42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners & affiliated clinicians

Practitioners 2

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": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1295051308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-229-1797",
            "fax_number": "571-229-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 LIBERIA AVE.",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-229-1797",
            "fax_number": "571-229-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BRIDGERS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "804-822-4383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "VA",
            "license": "0101239490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENT FIRST MANASSAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.