Riverside Mot Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

008828 Issued in GA

Legal business name

RIVERSIDE MOT PHARMACY INC

Doing business as

RIVERSIDE MOT PHARMACY INC

Practice address

935-B Green St
Gainesville, GA 30501

Phone

(770) 532-6253

Fax

(770) 532-3692

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Scottie Barton

Title

Ceo and President

Phone

(770) 532-6253

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RIVERSIDE MOT PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1982761706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935-B GREEN ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-6253",
            "fax_number": "770-532-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935-B GREEN ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-6253",
            "fax_number": "770-532-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MOT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "770-532-6253"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "008828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609612415A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE MOT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonio Rios, M.D.
• Margaret Ann Riso, M.D.
• Andrew Wenzel Ritchey, MD
• Angela D. Ritter, M.D.
• Angelica Gonzalez Rivera, DO
• Riverside Pharmacy Inc
• Kyle Rives, MD
• Taylor Ann Rives, MD
• Vesna Rizvanovic, P.A
• Amy N Roark, L..D.

• Long Term Care Pharmacy in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.