Luke Aaron Richardson, PHARM D
Individual provider Active NPI Pharmacist · Pounding Mill, VA
NPI 1922609593 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1922609593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202207465 (VA)
- Practice address
- 13320 G.C. Peery Highway
Pounding Mill, VA 24637 - Phone
- (276) 593-9139
- Fax
- (276) 596-9139
- NPI assigned
- Nov 2, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207465 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207465 | VA | Yes |
Addresses
Primary practice location
13320 G.C. Peery Highway
Pounding Mill, VA 24637
Mailing address
7054 New Garden Rd
Honaker, VA 24260-6466
Phone (276) 971-7384
Other providers in Pounding Mill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.