Individual provider · Type 1 NPI

Kenneth Jaquez Richardson, PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Charlotte, NC

NPI number 1376110486 Active

Practice location

200 Hawthorne Ln
Charlotte, NC 28204-2515

Fax (704) 316-2270

Mailing address

2010 N Brevard St Apt 635
Charlotte, NC 28206-3948

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Pharmacist 1835P2201X34259 (NC)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X700651 (NC)

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.

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About NPI 1376110486

Kenneth Jaquez Richardson, PharmD's National Provider Identifier is 1376110486, issued on Jun 7, 2021. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Charlotte, NC. The record was last updated on Dec 3, 2025.