Organization Active NPI

River Chemists Corp.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1851432116
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028401 Issued in NY
Legal business name
RIVER CHEMISTS CORP.
Doing business as
D.J. DRUGS
Practice address
3721 Riverdale Ave
Bronx, NY 10463-1807
Phone
(718) 549-6709
Fax
(718) 549-1422
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mr. Vyacheslav Shamalov, BS PHARM
Title
Supervising Pharmacist
Phone
(718) 549-6709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 028401 NY Primary

Addresses

Primary practice location

3721 Riverdale Ave
Bronx, NY 10463-1807

Mailing address

3721 Riverdale Ave
Bronx, NY 10463-1807
Phone (718) 549-6709

Other identifiers 2

IdentifierTypeStateIssuer
00727922MedicaidNY
02877549MedicaidNY

Other names 1

  • D.J. DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110706000418 NY DME Supplier - Pharmacy 8224216643 Practice locations: Bronx, NY
O20240417002325 NY Part B Supplier - Pharmacy 8224216643 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
River Chemists Corp3721 Riverdale Ave, Bronx, NY 10463-1807(718) 549-6709 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 26, 2024

National Provider Directory

National Provider Directory

Locations

3721 Riverdale Ave
Bronx, NY 10463
Phone (718) 549-6709

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1851432116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631807",
            "telephone_number": "718-549-6709",
            "fax_number": "718-549-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631807",
            "telephone_number": "718-549-6709",
            "fax_number": "718-549-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CHEMISTS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "SHAMALOV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-549-6709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00727922",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02877549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.J. DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D.J. DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.