River Road Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008749 Issued in GA

Legal business name

RIVER ROAD PHARMACY

Practice address

5100 River Rd
Columbus, GA 31904-5841

Phone

(706) 317-2583

Fax

(706) 317-2587

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Colquitt Logan Jr., PHARMD

Title

President

Phone

(706) 317-2583

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ephym Freeman Bagwell, RPH

  • Pharmacist
  • Columbus, GA
  • NPI 1780861872
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1285728329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045841",
            "telephone_number": "706-317-2583",
            "fax_number": "706-317-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045841",
            "telephone_number": "706-317-2583",
            "fax_number": "706-317-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLQUITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-317-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434384249A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River City Orthopaedics and Spine Medicine Center PC
• River City Physical Therapy
• River City Recovery, LLC
• River City Vascular Specialists LLC
• River Psychotherapy Associates
• River Valley Regional Commission
• Jose J. Rivera-Melendez, M.D.
• Bianca N Rivera-Ramirez, PHARMD
• Barbara Rivera
• Iris Rivera, RBT

• Community/Retail Pharmacy in Columbus, GA
• Providers in Columbus, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.