Organization Active NPI

Richlands Pharmacy Associates Inc

Doing business as Richlands Pharmacy

  • Community/Retail Pharmacy
  • Richlands, VA
National Provider Identifier
1598757189
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201001948 Issued in VA
Legal business name
RICHLANDS PHARMACY ASSOCIATES INC
Doing business as
Richlands Pharmacy
Practice address
2625 Front St
Richlands, VA 24641-2225
Phone
(276) 963-2115
Fax
(276) 964-9769
NPI assigned
Aug 18, 2005
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Wesley Waters
Title
Owner
Phone
(276) 963-2115

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201001948 VA Primary

Addresses

Primary practice location

2625 Front St
Richlands, VA 24641-2225

Mailing address

2625 Front St
Richlands, VA 24641-2225
Phone (276) 963-2115

Other identifiers 3

IdentifierTypeStateIssuer
8512817MedicaidVA
2102773OtherPK
0850014000MedicaidWV

Other names 1

  • RICHLANDS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000498 VA Part B Supplier - Mass Immunization (Roster Biller Only) 6709903669 1 other NPI on this enrollment
Practice locations: Honaker, VA; Richlands, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2625 Front St
Richlands, VA 24641
Phone (276) 963-2115

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1598757189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 FRONT ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412225",
            "telephone_number": "276-963-2115",
            "fax_number": "276-964-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FRONT ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412225",
            "telephone_number": "276-963-2115",
            "fax_number": "276-964-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLANDS PHARMACY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-963-2115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8512817",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102773",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850014000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHLANDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RICHLANDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.