Richland Village Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301002395 Issued in MI

Legal business name

RICHLAND VILLAGE DRUG INC

Doing business as

Richland Village Drug

Practice address

8900 Gull Rd
Richland, MI 49083-9310

Phone

(269) 629-9550

Fax

(269) 629-9065

NPI assigned

Nov 2, 2006

Last updated

Dec 18, 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

Thomas BradleyNPI 1285754382

Title

Vice President

Phone

(269) 629-9550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RICHLAND VILLAGE DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Thomas Richard Bradley, RPH

  • Pharmacist
  • Richland, MI
  • NPI 1285754382
  NPD (past) Authorized official
• Jeffrey Robert Stull, PHARMD

  • Pharmacist
  • Lawton, MI
  • NPI 1639487796
  NPD
• Teresa Marie Bailey, PHARMD

  • Pharmacotherapy Pharmacist
  • Kalamazoo, MI
  • NPI 1497724751
  NPD (past)
• Nicholas Evan Lipp, 208U00000X

  • Pharmacist
  • Richland, MI
  • NPI 1073481412
  NPD (past)
• Kathryn Joy Zimont, RPH

  • Pharmacist
  • Richland, MI
  • NPI 1235266586
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1649358763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490830367",
            "telephone_number": "269-629-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 GULL RD",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839310",
            "telephone_number": "269-629-9550",
            "fax_number": "269-629-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND VILLAGE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "269-629-9550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2537016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHLAND VILLAGE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richland Podiatry PC
• Richland Psychology, PLLC
• Rise Therapy & Wellness LLC
• Julie A Rittenhouse, LMSW
• Corinne N Roller, PA-C
• Tate Rosenhagen, PA-C
• Rebecca Anne Runge, D.O.

• Community/Retail Pharmacy in Richland, MI
• Providers in Richland, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.