NPIMap

Organization Active NPI

Richards RX LLC

Doing business as Richard's Pharmacy

  • Community/Retail Pharmacy
  • Alton, TX
National Provider Identifier
1881857407
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26090 Issued in TX
Legal business name
RICHARDS RX LLC
Doing business as
Richard's Pharmacy
Practice address
3509 E Main Ave
Ste 102
Alton, TX 78573-1561
Phone
(956) 584-7772
Fax
(956) 584-7773
NPI assigned
Jul 3, 2008
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Jamie Barrera, PHARMD
Title
VP
Phone
(956) 584-7772

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 26090 TX Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3509 E Main Ave
Ste 102
Alton, TX 78573-1561

Mailing address

3509 E Main Ave
Ste 102
Alton, TX 78573-1561
Phone (956) 584-7772

Other identifiers 2

IdentifierTypeStateIssuer
2101433OtherPK
466509MedicaidTX

Other names 1

  • Richard's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000279 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6709936776 1 other NPI on this enrollment
Practice locations: Alton, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Richards RX LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3509 E Main Ave
Ste 102
Mission, TX 78573
Phone (956) 584-7772

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1881857407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "STE 102",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-584-7772",
            "fax_number": "956-584-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "STE 102",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-584-7772",
            "fax_number": "956-584-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "956-584-7772",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26090",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.