Organization Active NPI

Riverview Pharmacy & Surgicals LLC

  • Pharmacy
  • Essex, MD
National Provider Identifier
1225478092
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P05998 Issued in MD
Legal business name
RIVERVIEW PHARMACY & SURGICALS LLC
Practice address
410 Eastern Blvd
Essex, MD 21221-6714
Phone
(443) 231-5177
NPI assigned
Jun 26, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Vinay Dasari
Title
Managing Pharmacist
Phone
(443) 231-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P05998 MD Primary

Addresses

Primary practice location

410 Eastern Blvd
Essex, MD 21221-6714

Mailing address

410 Eastern Blvd
Essex, MD 21221-6714
Phone (443) 231-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410000629 MD Part B Supplier - Mass Immunization (Roster Biller Only) 6608008446 Practice locations: Essex, MD

National Provider Directory

National Provider Directory

Locations

410 Eastern Blvd
Essex, MD 21221
Phone (443) 231-5177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1225478092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216714",
            "telephone_number": "443-231-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216714",
            "telephone_number": "443-231-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PHARMACY & SURGICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "MANAGING PHARMACIST",
        "authorized_official_telephone_number": "443-231-5177"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P05998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.