Riverbend Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RIVERBEND PHARMACY LLC

Practice address

14916 Telegraph Rd
Flat Rock, MI 48134-9661

Phone

(734) 897-9701

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Saritha JoeNPI 1508270034

Title

Pharmacy Manager

Phone

(734) 897-9701

Specialties & licenses 1

Addresses

Other names 1

• Riverbend Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Saritha Joe

  • Pharmacist
  • Flat Rock, MI
  • NPI 1508270034
  NPD Authorized official
• Hassan Ali Hammoud, PHARMD

  • Pharmacist
  • Eastpointe, MI
  • NPI 1417359670
  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1669203261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14916 TELEGRAPH RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349661",
            "telephone_number": "734-897-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14916 TELEGRAPH RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349661",
            "telephone_number": "734-897-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "SARITHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "734-897-9701"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Joseph Porter II, DC
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• Michael R Ramos, D.D.S.
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• Brenda Anne Ross, MPT
• Jeana Ruby
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• Diana Araceli Saucedo

• Community/Retail Pharmacy in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.