Organization Active NPI

Riverview Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1396262218
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011241 Issued in MI
Legal business name
RIVERVIEW PHARMACY LLC
Practice address
7633 E Jefferson Ave Ste 130
Detroit, MI 48214-3730
Phone
(313) 499-8900
Fax
(248) 564-5419
NPI assigned
Aug 23, 2017
Last updated
Feb 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Mahmoud SrourNPI 1528579331
Title
Registered Pharmacist
Phone
(313) 445-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011241 MI Primary

Addresses

Primary practice location

7633 E Jefferson Ave Ste 130
Detroit, MI 48214-3730

Mailing address

7633 E Jefferson Ave Ste 130
Detroit, MI 48214-3730
Phone (313) 499-8900

Other practice location 1

7633 E Jefferson Ave Ste 130
Detroit, MI 48214-3730
Phone (313) 445-5656

National Provider Directory

National Provider Directory

Locations

7633 E Jefferson Ave
Ste 1
Detroit, MI 48214
Phone (313) 445-5656

7633 E Jefferson Ave
Ste 130
Detroit, MI 48214
Phone (313) 445-5656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1396262218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 130",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-499-8900",
            "fax_number": "248-564-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 130",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-499-8900",
            "fax_number": "248-564-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7633 E Jefferson Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143730",
            "country_code": "US",
            "telephone_number": "313-445-5656",
            "fax_number": "248-564-5419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERVIEW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "SROUR",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "313-445-5656"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.