Richard Lindell Pierce, DPH

Individual provider Active NPI Pharmacist · Leedey, OK

NPI 1477622892 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477622892
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
8528 (OK)
Practice address
421 South Main
Leedey, OK 73654-0296
Phone
(580) 488-3393
Fax
(580) 488-2159
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8528OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leedey Drug Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8528 OK Yes

Addresses

Primary practice location

421 South Main
Leedey, OK 73654-0296

Mailing address

421 South Main
P.O. Box 296
Leedey, OK 73654-0296
Phone (580) 488-3393

Other providers in Leedey, OK

All providers in Leedey, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.