Active NPI
Shri Hari RX Inc
Doing business as Riverwalk Pharmacy
- Community/Retail Pharmacy
- Riverside, CA
National Provider Identifier
1639311210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 49858
- Legal business name
- SHRI HARI RX INC
- Doing business as
- Riverwalk Pharmacy
- Practice address
- 4234 Riverwalk Parkway
Ste 130
Riverside, CA 92505 - Phone
- (951) 352-3030
- Fax
- (866) 610-6154
- NPI assigned
- Mar 30, 2009
- Last updated
- Jan 30, 2023
- Organization subpart
- Yes
- Parent organization
- SHRI HARI RX INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tapan R Patel
- Title
- Cfo
- Phone
- (513) 442-8078
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY 49858 | CA | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
4234 Riverwalk Parkway
Ste 130
Riverside, CA 92505
Mailing address
4234 Riverwalk Parkway
Ste 130
Riverside, CA 92505
Phone (951) 352-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5634008 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Riverwalk Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200826002311 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395088231 |
1 other NPI on this enrollment Practice locations: Riverside, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Corona Valley Pharmacy
- Community/Retail Pharmacy
- Corona, CA
- NPI 1679062756
O20200826002311
National Provider Directory
National Provider Directory- Part of
- Shri Hari RX Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1639311210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PARKWAY",
"address_2": "STE 130",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92505",
"telephone_number": "951-352-3030",
"fax_number": "866-610-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PARKWAY",
"address_2": "STE 130",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92505",
"telephone_number": "951-352-3030",
"fax_number": "866-610-6154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHRI HARI RX INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHRI HARI RX INC",
"enumeration_date": "2009-03-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "TAPAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "513-442-8078",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 49858",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5634008",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverwalk Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Riverwalk Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.