Riverside Pharmacy Associates, LLC
Organization Active NPI Home Infusion Therapy Pharmacy · Riverside, MO
NPI 1730475112 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1730475112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- Legal business name
- RIVERSIDE PHARMACY ASSOCIATES, LLC
- Practice address
- 616 NW Platte Valley Dr
Riverside, MO 64150-9798 - Phone
- (855) 257-2584
- Fax
- (816) 741-8849
- NPI assigned
- Jun 23, 2011
- Organization subpart
- No
Authorized official
- Name
- William Seibels
- Title
- President and Cfo
- Phone
- (615) 419-4343
Member of 1
Practitioners 2
-
Darren Lea, PHARM.D.
-
Tyler Woods, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250822001952 | MO | Part B Supplier - Pharmacy | 4082996137 | Practice locations: Riverside, MO |
National Provider Directory
Locations
616 NW Platte Valley Dr
Riverside, MO 64150
Phone (855) 257-2584
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2011022879 | MO | |
| Home Infusion Therapy Pharmacy | 3336H0001X | Yes | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
616 NW Platte Valley Dr
Riverside, MO 64150-9798
Mailing address
616 NW Platte Valley Dr
Riverside, MO 64150-9798
Phone (855) 257-2584
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130839 | Other | PK | |
| 606572501 | Medicaid | MO |
Other names
- Apex Specialty Pharmacy
Other providers in Riverside, MO
- Polaris Specialty Pharmacy LLC
- Polaris Specialty Pharmacy LLC
- Jessie Brei Riojas
- Riverside Nursing and Rehabilitation Center LLC
- Riverside Pharmacy Associates, LLC
- Abigail Hardy Rives
- Josie Deeanna Ross
- Nicholas Adam Rudloff
- Stacey Jo Russell
- Sage Behavioral Health and Wellness LLC
All providers in Riverside, MO · Home Infusion Therapy Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.