BROCK RICHARDSON (NPI# 1942807722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942807722 |
| Entity Type | Individual |
| Full Name | BROCK RICHARDSON |
| Practice Address |
8210 Renaissance Pkwy Durham NC 27713-6688 |
| Mailing Address |
311 Finley Forest Dr Chapel Hill NC 27517-8691 |
| Practice Telephone | 9194250002 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
29918 | NC | Pharmacy Service Providers |
| Street Address |
8210 RENAISSANCE PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261759 | Shauna Marlene Coleman | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2005-11-07 |
| 1598269326 | Rtp Vision Od Pa | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2018-03-19 |
| 1710377361 | Andrew Moluf | Pharmacy Technician | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2015-02-03 |
| 1306236955 | Rian Bigelow | Pharmacy Technician | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2015-02-03 |
| 1093118739 | Laura Ramsdell | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2014-10-08 |
| 1215277025 | Inview Eye Care | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2013-02-15 |
| 1336415017 | New Vision Eye Care, Od Pa | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2012-03-28 |
| 1881981686 | Jennifer Barker White | Pharmacist | 8210 Renaissance Pkwy, T-2069, Durham, NC 27713-6688 | 2011-06-30 |
| 1477849495 | Emilie Helen Raddin | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2011-06-28 |
| 1902191026 | Charlotte Gillespie Luft | Pharmacist | 8210 Renaissance Pkwy, T-2069, Durham, NC 27713-6688 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366913030 | Chi Hornik | Pharmacist | Duke Children's Hospital Erwin Road, Durham, NC 27710-0001 | 2018-12-06 |
| 1235645961 | Donna Lynn Topping | Pharmacist | 20 Duke Medicine Cir # 2-2, Durham, NC 27710-2000 | 2017-12-18 |
| 1679964985 | Kimberly Hodulik | Pharmacist | Dumc 3089, Durham, NC 27710-0001 | 2015-02-09 |
| 1356732671 | Sally Mccollum | Pharmacist | Duke University Health Systems, Dumc 3089, Erwin Road, Durham, NC 27710-0001 | 2015-02-09 |
| 1710248372 | Lauren Kay Samford | Pharmacist | 5316 Highgate Dr Ste 125, Durham, NC 27713-6629 | 2012-05-30 |
| 1033699459 | Shamita Y Hicks | Pharmacist | 1817 Martin Luther King Pkwy, Durham, NC 27707 | 2018-08-15 |
| 1316437379 | Stephanie Nichelle Shore | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2018-05-15 |
| 1245746924 | Alicia Hairston | Pharmacist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-12-18 |
| 1427563832 | Randy Lee Seys | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2017-12-07 |
| 1477079887 | Jenelle M Hall | Pharmacist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2017-08-17 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.