MEDICARE: RICHARD W PHARR MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician
2	261QM2500X	Medical Specialty Clinic/Center	07701	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316931066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD W PHARR MD PA

Provider Business Mailing Address
First Line	:	1490 WEST GOVERNMENT STREET SUITE 8
Second Line	:	RICHARD W PHARR M.D. PA
City	:	BRANDON
State	:	MS
Zip	:	39042
Country	:	US
Telephone Number	:	601-825-0287
Fax Number	:	601-825-1091

Provider Business Practice Location Address
First Line	:	1490 WEST GOVERNMENT STREET SUITE 8
Second Line	:	RICHARD W PHARR M.D. PA
City	:	BRANDON
State	:	MS
Zip	:	39042
Country	:	US
Telephone Number	:	601-825-0287
Fax Number	:	601-825-1091

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD WARREN PHARR
Credential	:	M.D.
Telephone Number	:	601-825-0287

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/17/2023

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