NPIMap

Organization Active NPI

Riverside Healthcare Services

  • Pharmacy
  • Richmond, VA
National Provider Identifier
1497994594
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201004270 Issued in VA
Legal business name
RIVERSIDE HEALTHCARE SERVICES
Doing business as
RIVERSIDE PHARMACY SERVICES-RICHMOND
Practice address
1300 Mactavish Ave
Richmond, VA 23230-4633
Phone
(804) 977-5901
Fax
(804) 977-5910
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mike Boggs
Title
Administrator
Phone
(757) 594-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201004270 VA Primary

Addresses

Primary practice location

1300 Mactavish Ave
Richmond, VA 23230-4633

Mailing address

1300 Mactavish Ave
Richmond, VA 23230-4633
Phone (804) 977-5901

Other identifiers 1

IdentifierTypeStateIssuer
4841599OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • RIVERSIDE PHARMACY SERVICES-RICHMOND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1497994594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MACTAVISH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304633",
            "telephone_number": "804-977-5901",
            "fax_number": "804-977-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MACTAVISH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304633",
            "telephone_number": "804-977-5901",
            "fax_number": "804-977-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-594-4600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4841599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE PHARMACY SERVICES-RICHMOND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.