NPIMap

Organization Active NPI

Riverbend Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Pearl River, LA
National Provider Identifier
1225468697
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
10431335#J6D52 Issued in LA
Legal business name
RIVERBEND THERAPEUTICS
Practice address
417 N. Woodlake Way
Pearl River, LA 70452
Phone
(985) 290-0017
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Mr. Shawn M Doll
Title
President/Owner
Phone
(985) 290-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 10431335#J6D52 LA Primary

Addresses

Primary practice location

417 N. Woodlake Way
Pearl River, LA 70452

Mailing address

417 N. Woodlake Way
Pearl River, LA 70452
Phone (985) 290-0017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1225468697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N. WOODLAKE WAY",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-290-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N. WOODLAKE WAY",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-290-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "985-290-0017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "10431335#J6D52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.