Jonathan Rivers

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH023688 Issued in GA

Practice address

2295 Towne Lake Pkwy
Woodstock, GA 30189-5520

Phone

(770) 517-2088

NPI assigned

Jan 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rivers Health and Wellness Pharmacy

  • Community/Retail Pharmacy
  • Waleska, GA
  • NPI 1033084983
  NPD Authorized official
• Rivers Health and Wellness Pharmacy

  • Community/Retail Pharmacy
  • Canton, GA
  • NPI 1134094089
  NPD Authorized official

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1164052460",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-517-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH023688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rightway Health and Wellness LLC
• Rising Stars Children'S Therapy, Inc
• Roxana Rivas Hernandez, LMSW
• Nicole T Rivera, P.A.,C.
• Victor Rivera, DC
• RLR Surgical Associates
• Sandra K Roberson, MD
• Amanda Robertson Celmer, CADCII, CCDS
• Noah Robertson, LMSW
• Robins Family Therapy LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.