Active NPI
Richard Medical Clinic Inc
Doing business as Acadiana Pharmacy
- Community/Retail Pharmacy
- Opelousas, LA
National Provider Identifier
1336251297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY002222IR
- Legal business name
- RICHARD MEDICAL CLINIC INC
- Doing business as
- Acadiana Pharmacy
- Practice address
- 507 N Market St
Opelousas, LA 70570-5279 - Phone
- (337) 942-1400
- Fax
- (337) 942-5595
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawnia Willis, PHARMACIST
- Title
- Owner
- Phone
- (337) 942-1400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY002222IR | LA | Primary |
Addresses
Primary practice location
507 N Market St
Opelousas, LA 70570-5279
Mailing address
507 N Market St
Opelousas, LA 70570-5279
Phone (337) 942-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032372 | Other | PK | |
| 1258270 | Medicaid | LA |
Other names 1
- ACADIANA PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1336251297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N MARKET ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705279",
"telephone_number": "337-942-1400",
"fax_number": "337-942-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N MARKET ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705279",
"telephone_number": "337-942-1400",
"fax_number": "337-942-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "DAWNIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-942-1400",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "PHY002222IR",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2032372",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1258270",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACADIANA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ACADIANA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.