NPIMap

Organization Active NPI

Rivertown Pharmacy Inc

  • Community/Retail Pharmacy
  • Conway, SC
National Provider Identifier
1891031340
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14323 Issued in SC
Legal business name
RIVERTOWN PHARMACY INC
Doing business as
Rivertown Pharmacy Inc
Practice address
2000 Main St
Conway, SC 29526-3335
Phone
(843) 488-4400
Fax
(843) 488-4401
NPI assigned
Jan 2, 2013
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Thelbert Dale Todd Jr.
Title
Owner
Phone
(843) 488-4400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14323 SC Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2000 Main St
Conway, SC 29526-3335

Mailing address

2000 Main St
Conway, SC 29526-3335
Phone (843) 488-4400

Other names 1

  • Rivertown Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2219 Main St
Conway, SC 29526
Phone (843) 488-4400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1891031340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263335",
            "telephone_number": "843-488-4400",
            "fax_number": "800-881-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263335",
            "telephone_number": "843-488-4400",
            "fax_number": "843-488-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "THELBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-488-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14323",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertown Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rivertown Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.