Richard Delorenzo, PHARMD
Individual provider Active NPI Pharmacist · St Simons Island, GA
NPI 1467829630 · NPPES record last updated Aug 24, 2015
Key facts
- NPI
- 1467829630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH028773 (GA)
- Practice address
- 220 Retreat VLG
St Simons Island, GA 31522-2403 - Phone
- (912) 634-4817
- NPI assigned
- Aug 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028773 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028773 | GA | Yes |
Addresses
Primary practice location
220 Retreat VLG
St Simons Island, GA 31522-2403
Mailing address
23 White Oak CT
Brunswick, GA 31520-2215
Phone (912) 577-2345
Other providers in St Simons Island, GA
- David E Vincent MD PC
- David L Patterson, PC
- Hannah Davis
- Angela Kathleen Dawson
- Megan Delarosa
- Candance H Devaul
- John Michael Dorough
- Joseph C. Druda
- Dana D'Andrea Duggan
- Rachel Lauren Duncan
All providers in St Simons Island, GA · Pharmacist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2015. 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.