Rivers State Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RIVERS STATE PHARMACY LLC

Practice address

1919 Avenue H Ste 100
Rosenberg, TX 77471-2629

Phone

(832) 363-3179

Fax

(832) 363-3634

NPI assigned

Jan 21, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xenia Martinez

Title

Owner/Director

Phone

(832) 363-3179

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julian Henderson

  • Pharmacist
  • Spring, TX
  • NPI 1225567696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1023648847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 AVENUE H STE 100",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712629",
            "telephone_number": "832-363-3179",
            "fax_number": "832-363-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 AVENUE H STE 100",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712629",
            "telephone_number": "832-363-3179",
            "fax_number": "832-363-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS STATE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "XENIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "832-363-3179"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1919 Avenue H Ste 100",
            "city": "Rosenberg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774712629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Riggs, MT114590
• Edmayia N Riggs, LPC
• Kyle Rios
• Rita S. Glaude, Inc. (Diagnostic Pain Management & Rehab. Center)
• Rita S. Glaude, Inc. (Diagnostic Pain Managament & Rehbailitation Center)
• Abigail Lynn Rizzo, RBT
• Roadrunner Medical Transportation
• Kevin Roberts, ATC, LAT
• Rayeana Lachelle Robinson, PHARM.D
• Leonardo Rodriguez Castilla

• Community/Retail Pharmacy in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.