Riverside Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006669 Issued in GA

Legal business name

RIVERSIDE PHARMACY INC

Doing business as

RIVERSIDE PHARMACY INC

Practice address

935 Green St NW
Gainesville, GA 30501-3325

Phone

(770) 532-6203

Fax

(770) 532-3692

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Scottie BartonNPI 1710574272

Title

Owner

Phone

(770) 532-6253

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RIVERSIDE PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 2

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

• Scottie D Barton

  • Pharmacist
  • Gainesville, GA
  • NPI 1710574272
  NPD Authorized official
• Carl Blake Southerland, PHARMD

  • Pharmacist
  • Gainesville, GA
  • NPI 1174110670
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1336218288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013325",
            "telephone_number": "770-532-6203",
            "fax_number": "770-532-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013325",
            "telephone_number": "770-532-6203",
            "fax_number": "770-532-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-532-6253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006669",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035109A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Ann Riso, M.D.
• Andrew Wenzel Ritchey, MD
• Angela D. Ritter, M.D.
• Angelica Gonzalez Rivera, DO
• Riverside Mot Pharmacy Inc
• Kyle Rives, MD
• Taylor Ann Rives, MD
• Vesna Rizvanovic, P.A
• Amy N Roark, L..D.
• Jennifer Roark, FNP

• Community/Retail Pharmacy in Gainesville, GA
• Providers in Gainesville, 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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.