Richie's Pharmacy & Medical Supply, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

19691 Issued in TX

Legal business name

RICHIE'S PHARMACY & MEDICAL SUPPLY, LLC

Doing business as

Richie's Pharmacy & Medical Supply

Practice address

12820 Highway 105 W
Conroe, TX 77304-1574

Phone

(936) 588-6337

Fax

(936) 588-2232

NPI assigned

Jul 26, 2005

Last updated

May 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Richard (Richie) Ray II, RPHNPI 1003070236

Title

President / Ceo

Phone

(936) 588-5601

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richie's Pharmacy & Medical Supply Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Richard Ray, R.PH

  • Pharmacist
  • Conroe, TX
  • NPI 1003070236
  NPD (past) Authorized official
• Alicia Michelle Simpson, RPH

  • Pharmacist
  • Conroe, TX
  • NPI 1114492337
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1508866278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HIGHWAY 105 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041574",
            "telephone_number": "936-588-6337",
            "fax_number": "936-588-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HIGHWAY 105 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041574",
            "telephone_number": "936-588-6337",
            "fax_number": "936-588-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHIE'S PHARMACY & MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RICHARD (RICHIE)",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "936-588-5601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "19691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richie's Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Mark Richards, D.D.S.
• Rachel Lorene Richards, LPC
• Joseph Mathews Richardson, LCDC
• Laura Dale Richardson, BCBA
• Michael Gerard Richardson I, RPH
• Sara Leslie Richmond
• Carisa K Richter, PA-C
• Michael C Riddle Jr., M.D.
• Jenna Ridenour
• Mary F Rider, A.P.N.

• Pharmacist in Conroe, TX
• Providers in Conroe, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.