Riverbend Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15117/1.1 Issued in MS

Legal business name

RIVERBEND PHARMACY LLC

Practice address

4 River Bend PL Ste 115
Flowood, MS 39232-9710

Phone

(662) 315-6169

Fax

(662) 315-6169

NPI assigned

Feb 4, 2017

Organization subpart

No

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

Authorized official

Name

James Cox

Title

Director of Pharmacy

Phone

(662) 315-6169

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1609314145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVER BEND PL STE 115",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329710",
            "telephone_number": "662-315-6169",
            "fax_number": "662-315-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVER BEND PL STE 115",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329710",
            "telephone_number": "662-315-6169",
            "fax_number": "662-315-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "662-315-6169"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "15117/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Oaks Hospital LLC
• River Oaks Hospital, LLC
• River Oaks Management Co. Inc.
• River Oaks Management Company LLC
• River Oaks Management Company, LLC
• Lauren Leigh Rivers
• Robert Wayne Rives, D.D.S.
• Shannon Rives, N.P.
• Amanda Brooke Roach, PMHNP-BC
• Kenny K Robbins, MD

• All providers in Flowood, MS
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.