Organization Active NPI

River Bend Retail Inc.

  • Durable Medical Equipment & Medical Supplies
  • Vienna, WV
National Provider Identifier
1508932211
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIVER BEND RETAIL INC.
Practice address
904 Grand Central Avenue
Ste D
Vienna, WV 26105-2100
Phone
(304) 295-8505
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Sandra Allyn Swackhamer
Title
MGR
Phone
(304) 295-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

904 Grand Central Avenue
Ste D
Vienna, WV 26105-2100

Mailing address

904 Grand Central Avenue
Ste D
Vienna, WV 26105-2100
Phone (304) 295-8505

Other names 1

  • Reflections Doing business as

National Provider Directory

National Provider Directory

Locations

904 Grand Central Ave
Ste D
Vienna, WV 26105
Phone (304) 295-8505

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1508932211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 GRAND CENTRAL AVENUE",
            "address_2": "STE D",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052100",
            "telephone_number": "304-295-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 GRAND CENTRAL AVENUE",
            "address_2": "STE D",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052100",
            "telephone_number": "304-295-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BEND RETAIL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SWACKHAMER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "304-295-8505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.