Active NPI
David Gordon Richards, DPH.
- Pharmacist
- Purcell, OK
National Provider Identifier
1396348637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12215
- Practice address
- 2015 S Green Ave
Purcell, OK 73080-6200 - Phone
- (405) 527-7396
- Fax
- (405) 527-7562
- NPI assigned
- Nov 19, 2020
- Last updated
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 12215 | OK | Primary |
Addresses
Primary practice location
2015 S Green Ave
Purcell, OK 73080-6200
Mailing address
2015 S Green Ave
Purcell, OK 73080-6200
Phone (405) 527-7396
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | 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 Walmart Pharmacy 10-0139
- Community/Retail Pharmacy
- Purcell, OK
- NPI 1497773188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1396348637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 S GREEN AVE",
"city": "PURCELL",
"state": "OK",
"postal_code": "730806200",
"telephone_number": "405-527-7396",
"fax_number": "405-527-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 S GREEN AVE",
"city": "PURCELL",
"state": "OK",
"postal_code": "730806200",
"telephone_number": "405-527-7396",
"fax_number": "405-527-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "DAVID",
"middle_name": "GORDON",
"credential": "DPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purcell, OK
- Purcell Municipal Hospital (PMH Specialty Clinic)
- Purcell Public Schools
- Purcell Senior Living LLC (Westbrook Gardens Senior Living Community)
- Purcell SNF Operations, LLC (Purcell Care Center)
- Traci Dawn Reed, RN
- Rick R Schmidt MD PC
- Sarah Riggs
- Katherine Rose Ring-Miller, LADC
- Riverside Counseling, Testing & Educational Services, LLC
- Riverside Counseling, Testing & Educational Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.