Richland Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30313 Issued in CA

Legal business name

RICHLAND PHARMACY

Doing business as

RICHLAND PHARMACY

Practice address

2090 E Canal Dr
Turlock, CA 95380-4302

Phone

(209) 667-5588

Fax

(209) 667-4935

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Wade Fullmer, RPH

Title

Pic and VP

Phone

(209) 667-5588

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• RICHLAND PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1952483737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 E CANAL DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804302",
            "telephone_number": "209-667-5588",
            "fax_number": "209-667-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 E CANAL DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804302",
            "telephone_number": "209-667-5588",
            "fax_number": "209-667-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PIC AND VP",
        "authorized_official_telephone_number": "209-667-5588",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30313",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0569547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA303130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rice Professional Dental Corportion
• Jeffrey Scott Rice, D.D.S
• Richard W. Slovek, MD PC
• Katelyn Richards, DPT
• Sarah Teresa Richards
• Tyler Riddick, NP
• Mercedes E Riego
• Preslie Riley
• Dana Marie Rine
• Amber Ring

• Community/Retail Pharmacy in Turlock, CA
• Providers in Turlock, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.