Active NPI
Gary J. Richardson, RPH
- Pharmacist
- Clay City, KY
National Provider Identifier
1609081124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7473
- Practice address
- 4644 Highway 15 W
Clay City, KY 40312 - Phone
- (606) 663-3481
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7473 | KY | Primary |
Addresses
Primary practice location
4644 Highway 15 W
Clay City, KY 40312
Mailing address
5 Redwing Dr
Winchester, KY 40391-1633
Phone (859) 744-0796
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7473 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Drug, Inc. | Past | Accepting new patients | |
| Jordan Drug, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Clay City, KY
- NPI 1295762987
-
- Community/Retail Pharmacy
- Beattyville, KY
- NPI 1689602799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609081124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 REDWING DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911633",
"telephone_number": "859-744-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4644 HIGHWAY 15 W",
"city": "CLAY CITY",
"state": "KY",
"postal_code": "40312",
"telephone_number": "606-663-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "GARY",
"middle_name": "J.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "7473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clay City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.