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DR. KENNETH JAQUEZ RICHARDSON PHARMD
NPI 1376110486
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Charlotte, NC

Active since June 07, 2021
200 HAWTHORNE LN, CHARLOTTE, NC 28204(980) 488-5336(704) 316-2270 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Jun 7, 2021 (2 updates tracked since 2021).

About Dr. Kenneth Jaquez Richardson Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JAQUEZ RICHARDSON PHARMD (NPI 1376110486) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Charlotte, North Carolina, licensed in North Carolina (700651) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1376110486
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. KENNETH JAQUEZ RICHARDSONCredential: PHARMD
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing Address2010 N Brevard St Apt 635Charlotte, NC 28206-3948 · (706) 951-4813 · Fax (704) 316-2270
Phone(980) 488-5336
Fax(704) 316-2270
Sole ProprietorNo
Enumeration DateJune 7, 2021
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1376110486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in NC · 700651
Definition
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.
Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X · License 34259 (NC)
200 HAWTHORNE LN, Charlotte, NC 28204
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELO SYLVIE OLENGA CRNA
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4239
MRS. ADRIENNE DUNLAP LANE
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4109
RYAN ALAN WILLIAMSON M.D.
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-9437
CHRISSY LATONYA HARRIS AGACNP
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4000
JAYME-JO KINNEY
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4840
EDEN TEDLA PA-C
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-5416
MATTHEW WYNNE SPANGLER MD
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4021
RAVEN DANIELLE LYLES
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Richardson's NPI number?

The NPI number for Kenneth Richardson is 1376110486. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Kenneth Richardson located?

Kenneth Richardson practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (980) 488-5336.

What is Kenneth Richardson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kenneth Richardson was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.