Riverwalk Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

50009125 Issued in SC

Legal business name

RIVERWALK PHARMACY INC.

Practice address

149 Riverwalk Blvd
Suite 10
Ridgeland, SC 29936-8190

Phone

(843) 645-2600

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul William Bright Jr.

Title

Pharmacist-in-Charge

Phone

(843) 645-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780732925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 10",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-645-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 10",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-645-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "843-645-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50009125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779850",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4225517",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridgeland NC LLC (Ridgeland NC)
• Ridgeland Nursing Center Inc
• Ridgeland Physical Therapy, Inc.
• Ridgeland Smiles
• Luna Riley
• Jose Maria Rodriguez-Maldonado, M.D.
• Stephany Rodriguez
• Christina Laura Salese
• SC Department of Juvenile Justice
• SC Opco LLC (Ridgeland Nursing and Rehab Center)

• Pharmacy in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.