Riverstone Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE008584 Issued in GA

Legal business name

RIVERSTONE PHARMACY

Practice address

101 Riverstone Vis
Suite 100
Blue Ridge, GA 30513-6648

Phone

(706) 258-2294

Fax

(706) 258-4149

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Lynn Petraroli, RPH

Title

Pharmacist in Charge

Phone

(706) 258-2294

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Charles Nolan Dooley Sr., R.PH.

  • Pharmacist
  • Blue Ridge, GA
  • NPI 1932227220
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1710956537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 100",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-2294",
            "fax_number": "706-258-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 100",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-2294",
            "fax_number": "706-258-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PETRAROLI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "706-258-2294",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00942719A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1149500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Ann Richardson, NEUROMUSCULAR THERAP
• Ridge Chiropractic
• Olivia Ann Riemer
• Renee S Rimmer, O.D.
• Riverstone Imaging Center (RiverStoneMD, PC)
• Riverstone Urgent Care Center (RiverStoneMD, PC)
• Riverstonemd PC (Riverstonemd Rural Health Clinic)
• Riverstonemd PC
• Carla Roberts, PT
• Skyelar Robinette, DMD

• Pharmacy in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.