Riverside Pharmacy & Compounding

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46716 Issued in CA

Legal business name

RIVERSIDE PHARMACY & COMPOUNDING

Practice address

9448 Magnolia Ave
Suite B
Riverside, CA 92503

Phone

(951) 343-1633

Fax

(951) 343-1675

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Nhung Tuyet Luu, PHARMD

Title

Pharmacist in Charge

Phone

(951) 343-1633

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jonathan Luu, PHARM.D.

  • Pharmacist
  • Lake Elsinore, CA
  • NPI 1295036358
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033280409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-343-1633",
            "fax_number": "951-343-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9448 MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-343-1633",
            "fax_number": "951-343-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHARMACY & COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "KELLY NHUNG",
        "authorized_official_middle_name": "TUYET",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "951-343-1633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5615060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Nephrology Physicians Inc
• Riverside Neurology Inc
• Riverside Neurosurgical Associates
• Riverside Oncology PC
• Riverside Operations, LP
• Riverside Plastic Surgery Associates Inc.
• Riverside Postacute Care LLC
• Riverside Primary Care Clinic
• Riverside Primary Care Doctors-Inc
• Riverside Psychiatric Medical Group

• Community/Retail Pharmacy in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.