Richard Glynn Bird, RPH
Individual provider Active NPI Pharmacist · Ozona, TX
NPI 1972144574 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1972144574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22531 (TX)
- Practice address
- 902 11TH St
Ozona, TX 76943-1829 - Phone
- (325) 392-2666
- Fax
- (325) 392-2864
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22531 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozona Pharmacy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22531 | TX | Yes |
Addresses
Primary practice location
902 11TH St
Ozona, TX 76943-1829
Mailing address
PO Box 1829
Ozona, TX 76943-1829
Phone (325) 226-3100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | OZONA | Direct | |
| CONNECT URL | www.mygnp.com | Other |
Other providers in Ozona, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. 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.