NPIMap

Individual provider Active NPI

Darel Richardson, PHARMD

  • Pharmacist
  • Hurley, MS
National Provider Identifier
1730783176
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21543 Issued in AL
Practice address
7021 Hwy 614
Hurley, MS 39555-0789
Phone
(228) 588-6053
Fax
(228) 588-9396
NPI assigned
Nov 25, 2020
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-16758 MS
Pharmacist 183500000X 21543 AL Primary

Addresses

Primary practice location

7021 Hwy 614
Hurley, MS 39555-0789

Mailing address

PO Box 789
Hurley, MS 39555-0789
Phone (228) 588-6053

Other practice location 1

2550 Dauphin St
Mobile, AL 36606-4821
Phone (251) 471-1573

Other practice location 2

3867 Promenade Pkwy
Diberville, MS 39540-5372
Phone (228) 233-3302

Other practice location 3

2280 Martin Luther King Blvd.
Mobile, AL 36610
Phone (251) 471-6229

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21543ALMDPharmacist
E-16758MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy LLC PastSince Mar 1, 2021 Accepting new patients
Mississippi CVS Pharmacy, L.L.C. PastSince Sep 25, 2022 Accepting new patients
Mississippi CVS Pharmacy LLC PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1730783176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "HURLEY",
            "state": "MS",
            "postal_code": "395550789",
            "telephone_number": "228-588-6053",
            "fax_number": "228-588-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 HWY 614",
            "city": "HURLEY",
            "state": "MS",
            "postal_code": "395550789",
            "telephone_number": "228-588-6053",
            "fax_number": "228-588-9396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064821",
            "country_code": "US",
            "telephone_number": "251-471-1573",
            "fax_number": "251-476-5580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3867 Promenade Pkwy",
            "address_purpose": "LOCATION",
            "city": "Diberville",
            "state": "MS",
            "postal_code": "395405372",
            "country_code": "US",
            "telephone_number": "228-233-3302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 Martin Luther King Blvd.",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "36610",
            "country_code": "US",
            "telephone_number": "251-471-6229",
            "fax_number": "251-471-6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DAREL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-16758",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.