Riverside Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

RIVERSIDE PHARMACY LLC

Doing business as

Riverside Pharmacy

Practice address

540 Riverside Dr Ste 1
Salisbury, MD 21801-5375

Phone

(410) 742-1188

Fax

(410) 742-3408

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Sanjay L Rayathatha, PHARMACIST

Title

Member

Phone

(410) 948-0554

Specialties & licenses 1

Addresses

Other names 1

• Riverside Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1326806969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015375",
            "telephone_number": "410-742-1188",
            "fax_number": "410-742-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015375",
            "telephone_number": "410-742-1188",
            "fax_number": "410-742-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "RAYATHATHA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-948-0554",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Infusion Center LLC
• Riverside Neurology Associates LLC
• Riverside Neurology Associates, P.a.
• Riverside Neurology LLC
• Riverside Pharmacy LLC (Riverside Pharmacy)
• RMS Sonography Inc.
• Robert J Davis, M.D., P.a.
• Connie Jane Roberts, C.R.N.P., MSN
• Samantha Paige Roberts, CRNM
• William Robins, M.D.

• Long Term Care Pharmacy in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.