Organization Active NPI

Rivercare Solutions LLC

  • Long Term Care Pharmacy
  • Camden, NJ
National Provider Identifier
1982474821
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RIVERCARE SOLUTIONS LLC
Doing business as
MIguel's pharmacy
Practice address
1787 River Road
Camden
Camden, NJ 08105
Phone
(856) 757-0200
Fax
(856) 757-0211
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Viswa Prakash Varma MantenaNPI 1851842207
Title
Managing Member
Phone
(908) 745-9499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1787 River Road
Camden
Camden, NJ 08105

Mailing address

8 Jerrick CT
Mount Laurel, NJ 08054-9525
Phone (190) 874-5949

Other names 1

  • MIguel's pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivercare Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1982474821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JERRICK CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549525",
            "telephone_number": "190-874-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 RIVER ROAD",
            "address_2": "CAMDEN",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08105",
            "telephone_number": "856-757-0200",
            "fax_number": "856-757-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MANTENA",
        "authorized_official_first_name": "VISWA PRAKASH",
        "authorized_official_middle_name": "VARMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-745-9499"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIguel's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIguel's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.