Provider Demographics
NPI:1972140085
Name:BARMORE, RICHARD WENDAL JR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WENDAL
Last Name:BARMORE
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1208 S HWS CLEVELAND BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-3707
Mailing Address - Country:US
Mailing Address - Phone:308-325-1481
Mailing Address - Fax:
Practice Address - Street 1:322 E 22ND ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2608
Practice Address - Country:US
Practice Address - Phone:402-721-1177
Practice Address - Fax:402-721-2288
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022156301835P0018X
MD247781835P0018X
DCPH100025231835P0018X
NE92391835P0018X
IA235101835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist