Richard Jespersen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

44287 Issued in TX

Practice address

5900 Bosque Blvd
Drug Emporium
Waco, TX 76655

Phone

(254) 772-0011

NPI assigned

Oct 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• Gibson Sales LP

  • Community/Retail Pharmacy
  • Waco, TX
  • NPI 1740231521
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1972146785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BORDON ST",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766559675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BOSQUE BLVD",
            "address_2": "DRUG EMPORIUM",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76655",
            "telephone_number": "254-772-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "RICHARD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Jensen, LCSW
• Randall D. Jensen, M.D.
• Meredith McCoy Jergins, PA-C
• Floyd Edsil Jernigan, M.D.
• Jyotsna Jerome
• Dee Anna Jeter, LPC
• Ashton Fisher Jimenez, MS, LPC-S
• Natalia Jimenez, PH.D.
• Shyteria Jimerson, LMT
• Chetan Jinadatha, MD, MPH

• Pharmacist in Waco, TX
• Providers in Waco, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.