Individual provider Active NPI

Constance Chin Richendollar, RPH

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1366784118
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025803 Issued in GA
Practice address
100 Perimeter Center PL NE
Atlanta, GA 30346-1204
Phone
(678) 259-0888
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 RPH025803 GA Primary

Addresses

Primary practice location

100 Perimeter Center PL NE
Atlanta, GA 30346-1204

Mailing address

100 Perimeter Center PL NE
Atlanta, GA 30346-1204
Phone (678) 259-0888

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

LicenseStateTypeSpecialty
RPH025803GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1366784118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERIMETER CENTER PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461204",
            "telephone_number": "678-259-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERIMETER CENTER PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461204",
            "telephone_number": "678-259-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHENDOLLAR",
        "first_name": "CONSTANCE",
        "middle_name": "CHIN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.