Organization Active NPI

Riverside Healthcare Services Inc

  • Home Infusion Therapy Pharmacy
  • Newport News, VA
National Provider Identifier
1083852586
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
0201003424 Issued in VA
Legal business name
RIVERSIDE HEALTHCARE SERVICES INC
Practice address
848 J Clyde Morris Blvd
Newport News, VA 23601-1303
Phone
(757) 594-3944
Fax
(757) 534-6330
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mike Boggs
Title
Administrator
Phone
(757) 594-4600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0201003424 VA
Pharmacy 333600000X 0201003424 VA
Home Infusion Therapy Pharmacy 3336H0001X 0201003424 VA Primary

Addresses

Primary practice location

848 J Clyde Morris Blvd
Newport News, VA 23601-1303

Mailing address

608 Denbigh Blvd
Ste 800
Newport News, VA 23608-4410
Phone (757) 875-7545

Other identifiers 2

IdentifierTypeStateIssuer
4841777OtherVANDPDP
1083852586MedicaidVA

Other names 1

  • Riverside Pharmacy Services Doing business as

National Provider Directory

National Provider Directory

Locations

439 Oriana Rd
Ste B
Newport News, VA 23608
Phone (757) 234-8450

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1083852586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD",
            "address_2": "STE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084410",
            "telephone_number": "757-875-7545",
            "fax_number": "757-875-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011303",
            "telephone_number": "757-594-3944",
            "fax_number": "757-534-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-594-4600"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "0201003424",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003424",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "VA",
            "license": "0201003424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDPDP",
            "identifier": "4841777",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083852586",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.