RIVERSIDE HEALTHCARE SERVICES (NPI# 1497994594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497994594 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HEALTHCARE SERVICES |
| Other Organization Name | RIVERSIDE PHARMACY SERVICES-RICHMOND |
| Practice Address |
1300 Mactavish Ave Richmond VA 23230-4633 |
| Practice Telephone | 8049775901 |
| Practice Fax Number | 8049775910 |
| Mailing Telephone | 8049775901 |
| Mailing Fax Number | 8049775910 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2012-08-27 |
| Authorized Official Name | MIKE BOGGS (ADMINISTRATOR) |
| Authorized Official Telephone | 7575944600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0201004270 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4841599 | 01 |
| Other Name | Type Code |
|---|---|
| RIVERSIDE PHARMACY SERVICES-RICHMOND | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RIVERSIDE HEALTHCARE SERVICES INC. | 701 Town Center Dr Ste 1000, Newport News, Virginia 23606-4286 |
| Street Address |
1300 MACTAVISH AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124512637 | Innovage Virginia Pace II, LLC | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2018-06-18 |
| 1093229353 | Jordan Faith Damiano | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2017-11-24 |
| 1841684867 | Tiffany Pajic | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2015-03-27 |
| 1871886655 | Riverside Retirement Services, Inc. | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-26 |
| 1780977538 | Richmond Area Compassionate Care Pharmacy | Pharmacy | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4633 | 2011-05-25 |
| 1932491073 | Mary K. Branzelle | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-09 |
| 1104117134 | Ronald Alfred Gregory | Pharmacist | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4616 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115131 | Eliz Pharmacy LLC | Pharmacy | 7120 Fm 1464 Rd Ste D, Richmond, TX 77407-6400 | 2020-02-04 |
| 1235619123 | Always First Pharmacy LLC | Pharmacy | 8620 Grand Mission Blvd Ste I, Richmond, TX 77407-5419 | 2018-08-20 |
| 1447702626 | Kelcare LLC | Pharmacy | 22001 Southwest Fwy Ste 110, Richmond, TX 77469-7002 | 2016-11-04 |
| 1396136156 | Cz Services Inc | Pharmacy | 860 Harbour Way S Ste E, Richmond, CA 94804-3648 | 2015-02-13 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1083999122 | Carters Pharmacy Rx LLC | Pharmacy | 1202 Lark Ln Ste 3, Richmond, TX 77469-7433 | 2011-10-20 |
| 1013227149 | Mariste Pharmaceuticals LLC | Pharmacy | 8710 Grand Mission Blvd Ste H, Richmond, TX 77407-5413 | 2010-10-07 |
| 1932399383 | South River Compounding Pharmacy West End, Inc. | Pharmacy | 3656 Mayland Ct, Richmond, VA 23233-1409 | 2007-07-31 |
| 1164504940 | Richmond Apothecaries Inc | Pharmacy | 1602 Skipwith Rd # 201, Richmond, VA 23229-5205 | 2006-10-20 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.