MEDICARE: ZACHARY RICHARDSON

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1346835634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY RICHARDSON

Provider Business Mailing Address
First Line	:	428 CONGRESS AVE
Second Line	:
City	:	STAR CITY
State	:	WV
Zip	:	26505-2016
Country	:	US
Telephone Number	:	681-209-8701
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 CONGRESS AVE
Second Line	:
City	:	STAR CITY
State	:	WV
Zip	:	26505-2016
Country	:	US
Telephone Number	:	681-209-8701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	03/08/2021

Similar Medicare Providers

1043539042 — E Z CARE MEDICAL SUPPLIES, LLC
Practice Location Address:

568 W SILVER STAR EXT
OCOEE, FL
34761-2016

Practice Phone: 407-614-3842
Practice Fax:

1932588399 — BIANCA M. SHAH AA
Practice Location Address:

2400 N STAR LN
AVON, OH
44011-2016

Practice Phone: 440-623-2340
Practice Fax:

1528161288 — WEST VIRGINIA CVS PHARMACY LLC
Practice Location Address:

3521 MONONGAHELA BLVD
STAR CITY, WV
26505-3021

Practice Phone: 304-599-3180
Practice Fax:

1356449375 — PACE TRAINING AND EVALUATION CENTER, INC
Practice Location Address:

420 PLEASANT HILL AVE
STAR CITY, WV
26505-2042

Practice Phone: 304-599-0513
Practice Fax: 304-599-0671

1093859365 — MISS JESSICA KRISTINE SCOTT ATC
Practice Location Address:

1431 SARATOGA AVE APT 6
STAR CITY, WV
26505-3181

Practice Phone: 724-510-1155
Practice Fax:

1831310473 — DR. ED JACOBS PHD
Practice Location Address:

457 BROADWAY AVE
STAR CITY, WV
26505

Practice Phone: 304-599-0109
Practice Fax: 304-599-6683

Directions to “ ZACHARY RICHARDSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.