Individual provider Active NPI

Richard Jiro Ando, PHARMD

  • Pharmacist
  • Ventura, CA
National Provider Identifier
1508161506
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27243 Issued in CA
Practice address
6040 Telegraph Rd
Ventura, CA 93003-4372
Phone
(805) 650-2155
Fax
(805) 650-2160
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27243 CA Primary
Pharmacist 183500000X 05724 NV

Addresses

Primary practice location

6040 Telegraph Rd
Ventura, CA 93003-4372

Mailing address

397 Colby Cir
Ventura, CA 93003-3854
Phone (805) 642-9324

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
05724NVMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1508161506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 COLBY CIR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033854",
            "telephone_number": "805-642-9324",
            "fax_number": "805-650-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034372",
            "telephone_number": "805-650-2155",
            "fax_number": "805-650-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDO",
        "first_name": "RICHARD",
        "middle_name": "JIRO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "27243",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "05724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.