Riverside RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

036561 Issued in NY

Legal business name

RIVERSIDE RX INC

Practice address

5906B Riverdale Ave
Bronx, NY 10471-1603

Phone

(718) 884-8884

Fax

(718) 884-8883

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Mark Isakov

Title

President

Phone

(718) 884-8884

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RIVERSIDE RX INC Doing business as

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1205328671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906B RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711603",
            "telephone_number": "718-884-8884",
            "fax_number": "718-884-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906B RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711603",
            "telephone_number": "718-884-8884",
            "fax_number": "718-884-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-884-8884"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2178003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yeisson Jhonas Rivero, M.D
• Henry Lee Rivers Sr., BA
• Lamont Rivers, 29381 CASAC-T
• Mary Rivers, MSW
• Riverside Family Medicine, PC
• Riverspring Licensed Home Care Services Agency Inc
• Riverview Chemists Inc
• Riverview Chemists Inc
• Boris N Rivkin
• Kir Rivkin, PHARM.D

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.