River Drive Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07394 Issued in KY

Legal business name

RIVER DRIVE PHARMACY LLC

Practice address

223 River Dr
Irvine, KY 40336-1142

Phone

(606) 723-0265

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Vivian OngNPI 1740286376

Title

Member

Phone

(606) 723-0265

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian C Ong, MD

  • Pediatrics Physician
  • Irvine, KY
  • NPI 1740286376
  NPD Authorized official

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1659699494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER DRIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-723-0265"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100127260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neila Hodges Rawlins, CPH.T.
• Judith Patrick Rech, RPH
• Respiratory Express Inc
• Kristen Reynolds, OTR/L
• Shawn Christian Rice, D.O.
• Riverview Clinic PSC
• Riverview Services LLC
• Riverview Services, LLC
• Kendra B Robertson, PA-C
• Mark Rukavina, MD

• All providers in Irvine, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.