Riverview Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054006576 Issued in IL

Legal business name

RIVERVIEW PHARMACIES INC

Doing business as

RIVERVIEW PHARMACY

Practice address

475 Brown Blvd
Suite 105
Bourbonnais, IL 60914-2325

Phone

(815) 933-1735

Fax

(815) 933-3370

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

John Hall

Title

Manager

Phone

(815) 933-1735

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RIVERVIEW PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1588779516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "address_2": "SUITE 105",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-933-1735",
            "fax_number": "815-933-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "address_2": "SUITE 105",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-933-1735",
            "fax_number": "815-933-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-933-1735"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054006576",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3622974344001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERVIEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Lynn Riegel-Kesner, DC
• Riverside Ambulatory Surgery Center, LLC
• Riverside Health System
• Riverside Medical Center
• Riverside Medical Center
• Riverview Pharmacies Inc
• Catina Bessant Robertie, MA, LCPC
• Malissa Roby, LSW
• Cindy Rodriguez, APRN
• Donald E Roland, MD

• Community/Retail Pharmacy in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.