Active NPI
Bill Michael Richardson, D.PH.
- Pharmacist
- Jackson, TN
National Provider Identifier
1770578312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1987
- Practice address
- 505 Roland Ave
Jackson, TN 38301-4301 - Phone
- (731) 423-2272
- Fax
- (731) 423-2174
- NPI assigned
- Sep 20, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 1987 | TN | Primary |
Addresses
Primary practice location
505 Roland Ave
Jackson, TN 38301-4301
Mailing address
505 Roland Ave
Jackson, TN 38301-4301
Phone (731) 423-2272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4419708 | Other | TN | NABP |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Jackson, TN
- NPI 1982789277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770578312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ROLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014301",
"telephone_number": "731-423-2272",
"fax_number": "731-423-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ROLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014301",
"telephone_number": "731-423-2272",
"fax_number": "731-423-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "BILL",
"middle_name": "MICHAEL",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "1987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4419708",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.