Ridge Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054003535 Issued in IL

Legal business name

RIDGE PHARMACY INC

Doing business as

Ridge Pharmacy

Practice address

1919 Lake Ave
Wilmette, IL 60091-1422

Phone

(847) 251-0315

Fax

(847) 251-0377

NPI assigned

Aug 31, 2006

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Tierney, RPH

Title

Owner

Phone

(847) 251-0315

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• RIDGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1912019852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911422",
            "telephone_number": "847-251-0315",
            "fax_number": "847-251-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911422",
            "telephone_number": "847-251-0315",
            "fax_number": "847-251-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-251-0315",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054003535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1428514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Rhee
• Lindsay Rich, M.A., CCC-SLP
• Julia Ann Richards, MSOT
• Kenneth Richmond, MD
• Cecelia H. Ricketts, M.D.
• Ridgewellness Center
• River North Pain Management Consultants SC
• Oleg Rivkin
• Keith H. Rizman, D.D.S.
• Sarah Roffe

• Community/Retail Pharmacy in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.