Active NPI
Luz Angeles Rivera, RPH
- Pharmacist
- Warrenville, IL
National Provider Identifier
1962534388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030765
- Practice address
- 4525 Weaver Pkwy
Suite 310
Warrenville, IL 60555-0318 - Phone
- (800) 223-9230
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 5302030765 | MI | Primary |
Addresses
Primary practice location
4525 Weaver Pkwy
Suite 310
Warrenville, IL 60555-0318
Mailing address
1301 Sumac St
Muskegon, MI 49445-2539
Phone (231) 744-3179
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302030765 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962534388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SUMAC ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494452539",
"telephone_number": "231-744-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 WEAVER PKWY",
"address_2": "SUITE 310",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605550318",
"telephone_number": "800-223-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LUZ",
"middle_name": "ANGELES",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.