Active NPI
Riverside Healthcare Services Inc
- Home Infusion Therapy Pharmacy
- Newport News, VA
National Provider Identifier
1083852586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 0201003424
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4841777 | Other | VA | NDPDP |
| 1083852586 | Medicaid | VA |
Other names 1
- Riverside Pharmacy Services
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Newport News, VA
- NPI 1679534655
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.