Riverside Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46371 Issued in CA

Legal business name

RIVERSIDE PARK PHARMACY INC

Practice address

11655 Riverside Dr
North Hollywood, CA 91602-1021

Phone

(818) 985-7230

Fax

(818) 985-7281

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Eunhye Park

Title

Pharmacist in Charge

Phone

(818) 985-7230

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RIVERSIDE PHARMACY & COMPOUNDING SHOP Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1457417339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11655 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021021",
            "telephone_number": "818-985-7230",
            "fax_number": "818-985-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11655 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021021",
            "telephone_number": "818-985-7230",
            "fax_number": "818-985-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "EUNHYE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "818-985-7230"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA463710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE PHARMACY & COMPOUNDING SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rivco Leaservice
• Ashley Isaias Rivera
• Diana Carolina Rivera, MSW, LCSW
• Petra Anahi Rivera
• Rafael M Rivera
• Houda I. Rizk, PT
• Robb Pain Management
• Robere J. Missirian MD Inc
• Marsel Lou Roberge
• Robert F. Collins

• Community/Retail Pharmacy in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.