Active NPI
Richard C McCoy Jr., R.PH.
- Pharmacist
- Lopez Island, WA
National Provider Identifier
1336142967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20518
- Practice address
- 352 Lopez Road
Lopez Island, WA 98261-0190 - Phone
- (360) 468-2616
- Fax
- (360) 468-3825
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20518 | WA | Primary |
Addresses
Primary practice location
352 Lopez Road
Lopez Island, WA 98261-0190
Mailing address
PO Box 190
Lopez Island, WA 98261-0190
Phone (360) 468-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20518 | Other | WA | WA R.PH. LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20518 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkhill Pharmacy, Inc. | Current | Accepting new patients | |
| Parkhill Pharmacy, Inc. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lopez Island Pharmacy
- Community/Retail Pharmacy
- Lopez Island, WA
- NPI 1629071493
-
- Long Term Care Pharmacy
- Lopez Island, WA
- NPI 1952160616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1336142967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "LOPEZ ISLAND",
"state": "WA",
"postal_code": "982610190",
"telephone_number": "360-468-2616",
"fax_number": "360-468-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 LOPEZ ROAD",
"city": "LOPEZ ISLAND",
"state": "WA",
"postal_code": "982610190",
"telephone_number": "360-468-2616",
"fax_number": "360-468-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "20518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA R.PH. LICENSE",
"identifier": "20518",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lopez Island, WA
- Lopez Acupuncture @ Integrated Health
- Lopez Acupuncture & Integrated Health
- Lopez Island Physical Therapy LLC
- Lopez Island School District
- Margaret A McCoy, R.PH.
- Arielle Faridha Mow, L.AC., EAMP
- Wendy L Murphy
- Aimee Nassoiy, L.M.P.
- Parkhill Pharmacy, Inc. (Lopez Island Pharmacy)
- Parkhill Pharmacy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.