Active NPI
Jennifer Riveros, PHARMD
- Pharmacist
- Norfolk, VA
National Provider Identifier
1932758976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202217819
- Practice address
- 400 Gresham Dr Ste 104
Norfolk, VA 23507-1901 - Phone
- (757) 622-0222
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202217819 | VA | Primary |
Addresses
Primary practice location
400 Gresham Dr Ste 104
Norfolk, VA 23507-1901
Mailing address
2006 Willow Arch
Chesapeake, VA 23323-6354
Phone (908) 358-8020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202217819 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRX1 LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1932758976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 WILLOW ARCH",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233236354",
"telephone_number": "908-358-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GRESHAM DR STE 104",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071901",
"telephone_number": "757-622-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVEROS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.