Active NPI
Riverside RX Pharmacy, Inc.
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1215874540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RIVERSIDE RX PHARMACY, INC.
- Practice address
- 3527 Broadway
New York, NY 10031-5627 - Phone
- (212) 256-0488
- NPI assigned
- May 4, 2026
- 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
- Jiwon An
- Title
- President
- Phone
- (212) 256-0488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3527 Broadway
New York, NY 10031-5627
Mailing address
3527 Broadway
New York, NY 10031-5627
National Provider Directory
National Provider DirectoryLocations
3527 Broadway
New York, NY 10031
Phone (212) 256-0488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Palisades Park, NJ
- NPI 1760181721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1215874540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315627",
"telephone_number": "212-256-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE RX PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "AN",
"authorized_official_first_name": "JIWON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-256-0488"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Riverside Orthopaedic & Sports Medicine Associates, P.C.
- Riverside Pharmacy,Inc.
- Riverside Physical Therapy,Nyc,PLLC
- Riverside Podiatry PLLC
- Riverside Radio Dispatch Inc
- Riverside Spine and Pain Medicine, PC
- Riverside SRX Inc
- Riverton Pharmacy Inc
- Rivertowns Psychological Associates, P.C.
- Jacynthe Rivest, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.