Organization Active NPI

Rivers Health and Wellness Pharmacy

  • Community/Retail Pharmacy
  • Waleska, GA
National Provider Identifier
1033084983
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RIVERS HEALTH AND WELLNESS PHARMACY
Practice address
6824 Reinhardt College Pkwy
Waleska, GA 30183-3266
Phone
(770) 479-2172
NPI assigned
Oct 9, 2025
Organization subpart
Yes
Parent organization
RIVERS HEALTH AND WELLNESS PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Jonathan RiversNPI 1164052460
Title
Owner
Phone
(770) 241-0532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6824 Reinhardt College Pkwy
Waleska, GA 30183-3266

Mailing address

607 Knights Bridge Dr
Canton, GA 30115-5215
Phone (770) 241-0532

Other names 1

  • Northside Pharmacy Waleska Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivers Health and Wellness Pharmacy2 organizations share this tax ID, including this one
Part of
Rivers Health and Wellness Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6824 Reinhardt College Pkwy
Waleska, GA 30183
Phone (770) 479-2172

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1033084983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 KNIGHTS BRIDGE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155215",
            "telephone_number": "770-241-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 REINHARDT COLLEGE PKWY",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301833266",
            "telephone_number": "770-479-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS HEALTH AND WELLNESS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERS HEALTH AND WELLNESS PHARMACY",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-241-0532"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Pharmacy Waleska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waleska, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.