RIVER VALLEY PHCY AND SUPPLY LLC (NPI# 1033120613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033120613 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PHCY AND SUPPLY LLC |
| Practice Address |
58 S Main St Lexington TN 38351-2104 |
| Practice Telephone | 7319682661 |
| Practice Fax Number | 7319683230 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN SIMONTON (PRESIDENT) |
| Authorized Official Telephone | 7319682661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
3638 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4434851 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4434851 | 01 |
| Street Address |
58 S MAIN ST |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1659627388 | Candace S Willis | Nurse Practitioner | 864 W Church St Ste A, Lexington, TN 38351 | 2012-07-31 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| Find all providers in zip 38351 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
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| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1477885697 | Barmore Drug Stores Inc | Pharmacy | 109 E 6th St, Lexington, NE 68850-1905 | 2010-02-14 |
| 1578640249 | Williams Pharmacy Inc | Pharmacy | 700 E Broadway St, Lexington, OK 73051-9067 | 2006-11-01 |
| 1912018524 | D&r Pharmaceutical Services LLC | Pharmacy | 921 Beasley St, Suite 130, Lexington, KY 40509-4119 | 2006-08-31 |
| 1841237245 | Pruitthealth Pharmacy Services, Inc. | Pharmacy | 328 Riverchase Way, Lexington, SC 29072-8010 | 2006-06-02 |
| 1811944051 | Gcp Services, LLC | Pharmacy | 2020 Liberty Rd, Ste. 105, Lexington, KY 40505-4257 | 2006-05-30 |
| 1538799655 | Professional Arts Pharmacy, LLC | Pharmacy | 270 W Church St Ste C, Lexington, TN 38351-2077 | 2020-01-16 |
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|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
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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.