Active NPI
Steven Rivor, PHARM.D.
- Pharmacist
- Lakeside, CA
National Provider Identifier
1275903262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH72613
- Practice address
- 9728 Winter Gardens Blvd
Lakeside, CA 92040-3809 - Phone
- (619) 938-0069
- NPI assigned
- Oct 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH72613 | CA | Primary |
Addresses
Primary practice location
9728 Winter Gardens Blvd
Lakeside, CA 92040-3809
Mailing address
9728 Winter Gardens Blvd
Lakeside, CA 92040-3809
Phone (619) 938-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH72613 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1275903262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9728 WINTER GARDENS BLVD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920403809",
"telephone_number": "619-938-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9728 WINTER GARDENS BLVD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920403809",
"telephone_number": "619-938-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVOR",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH72613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.