Richard Stephen Piroschak, B.S. PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5291 Issued in ID

Practice address

3475 E 17TH St
Ammon, ID 83406-6781

Phone

(208) 227-5083

Fax

(208) 227-5084

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Ammon, ID
  • NPI 1811030950
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1326238064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066781",
            "telephone_number": "208-227-5083",
            "fax_number": "208-227-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066781",
            "telephone_number": "208-227-5083",
            "fax_number": "208-227-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIROSCHAK",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811030950",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrisanna Marie Peterson
• Colton Jeffery Phelps, MSN, PMHNP-BC
• Scott Pickett, D.D.S.
• Madison Tena Pilster, BS
• Kolt Monte Piquet, PA-C
• Benjamin Pixton, PMHNP
• Carl B Plesner, RPH
• Joanne Pond, FNP-C
• Ron Wade Porter, M.D.
• Trudy Marie Potter, PTA

• Pharmacist in Ammon, ID
• Providers in Ammon, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.