Individual provider Active NPI

Ephraim NMN Riggins, R.PH.,C.PH.,PHARM.D.

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1295724789
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15508 Issued in FL
Practice address
6900 Southpoint Dr N
Fourth Floor VA Outpatient Clinic
Jacksonville, FL 32216-8007
Phone
(904) 470-6900
Fax
(904) 470-6901
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15508 FL Primary

Addresses

Primary practice location

6900 Southpoint Dr N
Fourth Floor VA Outpatient Clinic
Jacksonville, FL 32216-8007

Mailing address

12754 Shinnecock CT
Jacksonville, FL 32225-4692
Phone (904) 642-1906

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15508FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1295724789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12754 SHINNECOCK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254692",
            "telephone_number": "904-642-1906",
            "fax_number": "904-470-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 SOUTHPOINT DR N",
            "address_2": "FOURTH FLOOR VA OUTPATIENT CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168007",
            "telephone_number": "904-470-6900",
            "fax_number": "904-470-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGINS",
        "first_name": "EPHRAIM",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "credential": "R.PH.,C.PH.,PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "15508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.