Active NPI
Theron Richardson
- Pharmacist
- Lehighton, PA
National Provider Identifier
1407469281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454775
- Practice address
- 1241 Blakeslee Boulevard Dr E Ste 2
Lehighton, PA 18235-2401 - Phone
- (570) 386-5838
- NPI assigned
- Aug 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RP454775 | PA | Primary |
Addresses
Primary practice location
1241 Blakeslee Boulevard Dr E Ste 2
Lehighton, PA 18235-2401
Mailing address
701 Harrison St Apt 111
Allentown, PA 18103-3043
Phone (347) 817-9594
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP454775 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lehighton, PA
- NPI 1740389006
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1407469281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HARRISON ST APT 111",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033043",
"telephone_number": "347-817-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 BLAKESLEE BOULEVARD DR E STE 2",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182352401",
"telephone_number": "570-386-5838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "THERON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.