Active NPI
River Bend Retail Inc.
- Durable Medical Equipment & Medical Supplies
- Vienna, WV
National Provider Identifier
1508932211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.