Individual provider Active NPI

Janeen Michele Richards, RPH

  • Pharmacist
  • Callao, VA
National Provider Identifier
1558577890
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0401281 Issued in NY
Practice address
17422 Richmond Road
Callao, VA 22435-6230
Phone
(804) 529-6230
NPI assigned
May 15, 2007
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0401281 NY Primary
Pharmacist 183500000X 0202213214 VA

Addresses

Primary practice location

17422 Richmond Road
Callao, VA 22435-6230

Mailing address

4097 Essex Mill Rd
Dunnsville, VA 22454-2345
Phone (917) 697-4415

Other identifiers 1

IdentifierTypeStateIssuer
02731964MedicaidNY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0401281NYMDPharmacist
0202213214VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1558577890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 ESSEX MILL RD",
            "city": "DUNNSVILLE",
            "state": "VA",
            "postal_code": "224542345",
            "telephone_number": "917-697-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17422 RICHMOND ROAD",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224356230",
            "telephone_number": "804-529-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JANEEN",
        "middle_name": "MICHELE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0401281",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02731964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.