Organization Active NPI

Rivercare Solutions LLC

  • Community/Retail Pharmacy
  • Camden, NJ
National Provider Identifier
1992049126
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00722700 Issued in NJ
Legal business name
RIVERCARE SOLUTIONS LLC
Doing business as
MIGUEL'S PHARMACY
Practice address
1787 River Rd
Camden, NJ 08105-4215
Phone
(856) 757-0200
Fax
(856) 757-0200
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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
Owner
Phone
(856) 757-0200

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
Community/Retail Pharmacy 3336C0003X 28RS00722700 NJ Primary

Addresses

Primary practice location

1787 River Rd
Camden, NJ 08105-4215

Mailing address

1787 River Rd
1787 River Rd
Camden, NJ 08105
Phone (856) 757-0200

Other names 1

  • MIGUEL'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130315000219 NJ DME Supplier - Pharmacy 0840435129 Practice locations: Camden, NJ
O20150818004352 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0840435129 Practice locations: Camden, NJ

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.

Locations

1787 River Ave
Camden, NJ 08105
Phone (856) 757-0200

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": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1992049126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 RIVER RD",
            "address_2": "1787 RIVER RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08105",
            "telephone_number": "856-757-0200",
            "fax_number": "856-757-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 RIVER RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081054215",
            "telephone_number": "856-757-0200",
            "fax_number": "856-757-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MANTENA",
        "authorized_official_first_name": "VISWA PRAKASH",
        "authorized_official_middle_name": "VARMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-757-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00722700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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 May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.