Riverside Pharmacy Associates, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2011022879 Issued in MO

Legal business name

RIVERSIDE PHARMACY ASSOCIATES, LLC

Practice address

616 NW Platte Valley Dr
Suite B
Riverside, MO 64150-9798

Phone

(816) 741-8844

Fax

(816) 741-8849

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adam Emo

Title

Member Manager

Phone

(816) 741-8844

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1356624381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NW PLATTE VALLEY DR",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509798",
            "telephone_number": "816-741-8844",
            "fax_number": "816-741-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NW PLATTE VALLEY DR",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509798",
            "telephone_number": "816-741-8844",
            "fax_number": "816-741-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHARMACY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "EMO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "816-741-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2011022879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Polaris Specialty Pharmacy LLC (Polaris Pharmacy Services of Missouri)
• Jessie Brei Riojas
• Riverside Nursing and Rehabilitation Center LLC
• Riverside Pharmacy Associates, LLC (Apex Specialty Pharmacy)
• Abigail Hardy Rives, LCSW
• Josie Deeanna Ross, PHARM.D.
• Nicholas Adam Rudloff, D.O.
• Stacey Jo Russell, PTA

• Community/Retail Pharmacy in Riverside, MO
• Providers in Riverside, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.