Richardsons Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE005521 Issued in GA

Legal business name

RICHARDSONS PHARMACY INC

Practice address

4104 Tate St
Covington, GA 30014-2551

Phone

(770) 786-2284

Fax

(770) 786-2284

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Bob Wansley Richardson, RPHNPI 1265501506

Title

President

Phone

(770) 786-2284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peoples Drug Store Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bob Wansley Richardson, RPH

  • Pharmacist
  • Covington, GA
  • NPI 1265501506
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962427898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 TATE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142551",
            "telephone_number": "770-786-2284",
            "fax_number": "770-786-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 TATE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142551",
            "telephone_number": "770-786-2284",
            "fax_number": "770-786-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "WANSLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-786-2284",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE005521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1108504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoples Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revolution Counseling and Consulting LLC
• Brandon Lee Reynolds, DO
• Haley Reynolds, CPNP-PC
• Mali Rice
• Bob Wansley Richardson, RPH
• Maryse Richer-Godbey, OTR/L
• Matthew Vaughn Terrence Richmond
• Richway Nemt LLC
• Cassandra Catherine Riley, PA
• Daniel T Riley, MD

• Pharmacy in Covington, GA
• Providers in Covington, GA by specialty
• Pharmacy in Georgia

• 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.