Organization Active NPI

Rivers Pharmacy Inc

  • Community/Retail Pharmacy
  • Williston, SC
National Provider Identifier
1851337349
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50003060 Issued in SC
Legal business name
RIVERS PHARMACY INC
Doing business as
Rivers Pharmacy Inc
Practice address
12927 Main St
Williston, SC 29853-2321
Phone
(803) 266-7010
Fax
(803) 266-3370
NPI assigned
Jun 21, 2006
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Thomas Rivers
Title
President
Phone
(803) 266-7010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 50003060 SC Primary

Addresses

Primary practice location

12927 Main St
Williston, SC 29853-2321

Mailing address

12927 Main St
Williston, SC 29853-2321
Phone (803) 266-7010

Other identifiers 2

IdentifierTypeStateIssuer
4219057OtherNCPDP PROVIDER IDENTIFICATION NUMBER
730604MedicaidSC

Other names 1

  • RIVERS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

12927 Main St
Williston, SC 29853
Phone (803) 266-7010

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1851337349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-7010",
            "fax_number": "803-266-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-7010",
            "fax_number": "803-266-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-266-7010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50003060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4219057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730604",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.