Richard M. McGaughey, RPH.
Individual provider Active NPI Pharmacist · Paonia, CO
NPI 1386776607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386776607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11497 (CO)
- Practice address
- 224 Grand Avenue
Paonia, CO 81428-0029 - Phone
- (970) 527-4109
- Fax
- (970) 527-4108
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11497 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinical Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11497 | CO | Yes |
Addresses
Primary practice location
224 Grand Avenue
Paonia, CO 81428-0029
Mailing address
PO Box 1544
Paonia, CO 81428-8044
Phone (970) 527-3372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11497 | Other | CO | STATE LICENSE |
Other providers in Paonia, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.