Riverwest Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

054017672 Issued in IL

Legal business name

RIVERWEST PHARMACY LLC

Practice address

165 S Curtis Ave
Kankakee, IL 60901-3218

Phone

(815) 614-3837

Fax

(815) 614-3317

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Nader AtiehNPI 1265087811

Title

Pharmacist in Charge-Owner

Phone

(815) 614-3837

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RiverWest Pharmacy LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nader Atieh, PHARMD

  • Pharmacist
  • Bridgeview, IL
  • NPI 1265087811
  NPD Authorized official

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1275825929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S CURTIS AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013218",
            "telephone_number": "815-614-3837",
            "fax_number": "815-614-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S CURTIS AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013218",
            "telephone_number": "815-614-3837",
            "fax_number": "815-614-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWEST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "ATIEH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE-OWNER",
        "authorized_official_telephone_number": "815-614-3837"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054017672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1485590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverWest Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Medical Center
• Riverside Medical Center
• Riverside Senior Living Center
• Riverview OB-GYN, LTD
• Riverview Physicians, S.C.
• Robert a. Raley DPM SC
• Amitrius Robinson
• Paula T Robinson, PTA
• Ana Caren Rodriguez
• Emily C Rodriguez, PA-C

• Pharmacy in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.