Richard Gordan, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01599200 Issued in NJ

Practice address

577 Lockhaven Dr
Rivervale, NJ 07675-6030

Phone

(201) 930-8915

NPI assigned

Sep 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710087499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 LOCKHAVEN DR",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756030",
            "telephone_number": "201-930-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 LOCKHAVEN DR",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756030",
            "telephone_number": "201-930-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDAN",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01599200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "28RI01599200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in River Vale, NJ
• Providers in River Vale, NJ by specialty
• Pharmacist in New Jersey

• 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.

Verify at the official NPI Registry.