Organization Active NPI

Riverside Pharmacy Solutions

  • Pharmacist
  • Charleston, TN
National Provider Identifier
1992536361
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
RIVERSIDE PHARMACY SOLUTIONS
Practice address
393 Ledford Island Rd NW
Charleston, TN 37310-5213
Phone
(423) 710-0024
Fax
(423) 961-8089
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. Michael John Birdwell, PHARMDNPI 1841556065
Title
President
Phone
(423) 710-0024

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
Pharmacist 183500000X NU Primary

Addresses

Primary practice location

393 Ledford Island Rd NW
Charleston, TN 37310-5213

Mailing address

393 Ledford Island Rd NW
Charleston, TN 37310-5213
Phone (423) 710-0024

National Provider Directory

National Provider Directory

Locations

393 Ledford Island Rd NW
Charleston, TN 37310
Phone (423) 710-0024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1992536361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 LEDFORD ISLAND RD NW",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "373105213",
            "telephone_number": "423-710-0024",
            "fax_number": "423-961-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 LEDFORD ISLAND RD NW",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "373105213",
            "telephone_number": "423-710-0024",
            "fax_number": "423-961-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHARMACY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BIRDWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-710-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.