Riverside Professional Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003409 Issued in MI

Legal business name

RIVERSIDE PROFESSIONAL DRUG INC

Doing business as

RIVERSIDE SAVMOR PHARMACY

Practice address

2801 W Jefferson Ave
Trenton, MI 48183-2901

Phone

(734) 676-3784

Fax

(734) 676-3793

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Graham

Title

Manager Pharmacy Services

Phone

(248) 348-1570

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RIVERSIDE SAVMOR PHARMACY Doing business as

Tax ID family

Riverside Prof Drug Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Prof. Drug Inc.

  • Durable Medical Equipment & Medical Supplies
  • Trenton, MI
  • NPI 1265602494
  NPD tax ID

Locations

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1720196181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 W 9 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W JEFFERSON AVE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832901",
            "telephone_number": "734-676-3784",
            "fax_number": "734-676-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PROFESSIONAL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-348-1570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2327648",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327648",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE SAVMOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• River Urgent Care & Medical Clinic PC
• River Urgent Care & Medical Clinic PC
• Riverfront Speech Therapy LLC
• Riverside OB GYN P C
• Riverside Prof. Drug Inc.
• Robert H Dickason D O P C
• Emma Marie Roberts
• Lauren Roberts
• Anke U Robinson, M.D.
• Alec Christopher Robitaille, DO, MPH

• Community/Retail Pharmacy in Trenton, MI
• Providers in Trenton, 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 19, 2008; 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.