NPIMap

Organization Active NPI

Riesbeck Food Markets, Inc.

Doing business as Riesbeck's Pharmacy

  • Community/Retail Pharmacy
  • Saint Clairsville, OH
National Provider Identifier
1598764086
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RIESBECK FOOD MARKETS, INC.
Doing business as
Riesbeck's Pharmacy
Practice address
104 Plaza Dr
St. Clairsville, OH 43950
Phone
(740) 695-0274
Fax
(740) 695-2412
NPI assigned
Jul 18, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Richard L. Riesbeck
Title
President & Chief Executive Officer
Phone
(740) 695-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

104 Plaza Dr
St. Clairsville, OH 43950

Mailing address

48661 National Road
St. Clairsville, OH 43950
Phone (740) 695-7050

Other identifiers 3

IdentifierTypeStateIssuer
0909673MedicaidOH
020732900OtherOHSTATE PHARMACY BOARD
3657965OtherNCPDP

Other names 1

  • Riesbeck's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065416 OH DME Supplier - PharmacyDME Supplier - Grocery StoreDME Supplier - Department Store 3870612161 Practice locations: Saint Clairsville, OH
O20130827000148 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3870612161 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bridgeport, OH; Cambridge, OH; Saint Clairsville, OH; South Zanesville, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0932976Riesbeck Food Markets, Inc Dba104 Plaza Drive, St Clairsville, OH 43950Certificate of waiverSep 2, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Riesbeck Food Markets Inc104 Plaza Dr, Saint Clairsville, OH 43950-8736(740) 695-0274 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Riesbeck Food Markets Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598764086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48661 NATIONAL ROAD",
            "city": "ST. CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-7050",
            "fax_number": "740-695-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PLAZA DR",
            "city": "ST. CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-0274",
            "fax_number": "740-695-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIESBECK FOOD MARKETS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-03-07",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "RIESBECK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-695-7050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909673",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY BOARD",
            "identifier": "020732900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3657965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riesbeck's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riesbeck's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.