Michael Richardson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42607 Issued in TN

Practice address

406 W Main St
Waverly, TN 37185-1126

Phone

(931) 296-5205

NPI assigned

Dec 5, 2020

Sex

Male

Sole proprietor

Yes

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.

• Tennessee CVS Pharmacy, L.L.C.

  • Pharmacy
  • Waverly, TN
  • NPI 1114021920
  NPD (past)
• Tennessee CVS Pharmacy, L.L.C.

  • Pharmacy
  • Sevierville, TN
  • NPI 1891524815
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2020.

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1366048480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851126",
            "telephone_number": "931-296-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851126",
            "telephone_number": "931-296-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Poglitsch, PTA
• Premier Care Pediatrics
• Prime Pediatrics LLP
• Tonya Michelle Reynoldson, OD
• Frances Geraldine Rich, LPC
• Richland Creek Dental Group, PLLC
• River Valley Eye Clinic P C
• Brenda Sue Rogerson, CCC-SLP
• Emma Rowlett
• Edwin Will Harris Scott, DMD

• All providers in Waverly, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.