Riviera Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05941 Issued in MD

Legal business name

RIVIERA DRUGS LLC

Practice address

8541 Fort Smallwood Rd
Unit G
Pasadena, MD 21122-2676

Phone

(410) 255-1800

Fax

(410) 255-1900

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Shalendra Cherukuri

Title

Member

Phone

(267) 408-2937

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mike's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Santosh Kumar Dwarakanath, RPH

  • Pharmacist
  • Baltimore, MD
  • NPI 1104859537
  NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1104166552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 FORT SMALLWOOD RD STE G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222676",
            "telephone_number": "410-255-1800",
            "fax_number": "410-255-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 FORT SMALLWOOD RD",
            "address_2": "UNIT G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222676",
            "telephone_number": "410-255-1800",
            "fax_number": "410-255-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "SHALENDRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-408-2937"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilkie Nickie Heiner Clores Ricalde
• Ricardo J Osorno MD LLC
• Virginia Ricketts, LCPC
• Kathryn Sydney Ricks, DPT
• Ritchie Drugs LLC
• Sandra Fay Roberts
• Candace Graham Robinson, AU.D., CCC-A
• Lane Robinson
• Teia Rocha, PA-C
• Roger H. Harkins DDS PA

• Community/Retail Pharmacy in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.