Riverbank Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50794 Issued in CA

Legal business name

RIVERBANK PHARMACY INC

Doing business as

Riverbank Pharmacy

Practice address

2603 Patterson Rd Ste 9
Riverbank, CA 95367-3407

Phone

(209) 863-9988

Fax

(209) 863-1212

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Wesley Yong

Title

President

Phone

(209) 863-9988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverbank Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1518239482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 OAK VIEW CT",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619240",
            "telephone_number": "209-848-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 PATTERSON RD STE 9",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953673407",
            "telephone_number": "209-863-9988",
            "fax_number": "209-863-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBANK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-863-9988"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbank Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Rivera Villa
• Esteban Rivera
• Karina Rivera
• Luis Rivera
• Marcanthony Rivera
• Riverbank Post Acute LLC
• Riverbank Primary Care Medical Clinic Inc.
• Riverbank Rehabilitation Center
• Riverbank Unified School District
• Diana Elena Roa Ramos

• Community/Retail Pharmacy in Riverbank, CA
• Providers in Riverbank, 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 Jul 8, 2016; 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.