Organization Active NPI

Richardson Cloverdale Pharmacy

  • Pharmacy
  • Montgomery, AL
National Provider Identifier
1881795938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
108450 Issued in AL
Legal business name
RICHARDSON CLOVERDALE PHARMACY
Practice address
1069 Woodley Rd
Montgomery, AL 36106-2429
Phone
(334) 262-5775
Fax
(334) 262-1637
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anne M Richardson
Title
Owner
Phone
(334) 262-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 108450 AL Primary

Addresses

Primary practice location

1069 Woodley Rd
Montgomery, AL 36106-2429

Mailing address

1069 Woodley Rd
Montgomery, AL 36106-2429
Phone (334) 262-5775

Other identifiers 1

IdentifierTypeStateIssuer
0116827OtherNABP

National Provider Directory

National Provider Directory

Locations

1069 Woodley Rd
Montgomery, AL 36106
Phone (334) 262-5775

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881795938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062429",
            "telephone_number": "334-262-5775",
            "fax_number": "334-262-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062429",
            "telephone_number": "334-262-5775",
            "fax_number": "334-262-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON CLOVERDALE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-262-5775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "108450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0116827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.