Active NPI
Mark J Richards, RPH
- Pharmacist
- Des Moines, IA
National Provider Identifier
1902974355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14248
- Practice address
- 5625 Hickman Rd
Des Moines, IA 50310-1119 - Phone
- (515) 274-4001
- Fax
- (515) 274-5471
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 14248 | IA | Primary |
Addresses
Primary practice location
5625 Hickman Rd
Des Moines, IA 50310-1119
Mailing address
5625 Hickman Rd
Des Moines, IA 50310-1119
Phone (515) 274-4001
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14248 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richards Pharmacy Inc | 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 and National Provider Directory roles.
-
- Pharmacy
- Des Moines, IA
- NPI 1194893537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1902974355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101119",
"telephone_number": "515-274-4001",
"fax_number": "515-274-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101119",
"telephone_number": "515-274-4001",
"fax_number": "515-274-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "14248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.