Organization Active NPI

Shri Hari RX Inc

Doing business as Riverwalk Pharmacy

  • Community/Retail Pharmacy
  • Riverside, CA
National Provider Identifier
1639311210
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 49858 Issued in CA
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SHRI HARI RX INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5634008OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Riverwalk Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.