RIVERSIDE PARK PHARMACY INC (NPI# 1457417339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457417339 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PARK PHARMACY INC |
| Other Organization Name | RIVERSIDE PHARMACY & COMPOUNDING SHOP |
| Practice Address |
11655 Riverside Dr North Hollywood CA 91602-1021 |
| Practice Telephone | 8189857230 |
| Practice Fax Number | 8189857281 |
| Mailing Telephone | 8189857230 |
| Mailing Fax Number | 8189857281 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | EUNHYE PARK (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8189857230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46371 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1992105 | 01 | |
| CA | PHA463710 | 05 |
| Other Name | Type Code |
|---|---|
| RIVERSIDE PHARMACY & COMPOUNDING SHOP | Doing Business As Name - Organization |
| Street Address |
11655 RIVERSIDE DR |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770551954 | Grace E. Park | Pharmacist | 11655 Riverside Dr, North Hollywood, CA 91602-1021 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179327 | Go To Pharmacy Inc | Pharmacy | 5961 Laurel Canyon Ave #2, North Hollywood, CA 91607 | 2019-11-25 |
| 1932628906 | My Rx Pharmacy Inc | Pharmacy | 12506 Vanowen St, North Hollywood, CA 91605-5320 | 2017-09-11 |
| 1417322736 | Supreme Care Pharmacy, Inc. | Pharmacy | 6007 Lankershim Blvd, #7, North Hollywood, CA 91606-4883 | 2015-12-11 |
| 1306261318 | Aids Healthcare Foundation | Pharmacy | 4227 Lankershim Blvd, North Hollywood, CA 91602-2856 | 2014-02-27 |
| 1841611902 | Greywell Pharmacy Inc | Pharmacy | 10672 Riverside Dr, North Hollywood, CA 91602-2319 | 2013-12-16 |
| 1225473705 | Priority Care Pharmacy Inc | Pharmacy | 5652 Vineland Ave Ste 102, North Hollywood, CA 91601-2062 | 2013-05-09 |
| 1063597326 | Riverside Discount Drugs Inc | Pharmacy | 12508 Riverside Dr, North Hollywood, CA 91607 | 2006-10-26 |
| 1871676189 | Garfield Beach Cvs LLC | Pharmacy | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2006-10-23 |
| 1811931181 | Garfield Beach Cvs LLC | Pharmacy | 5969 Lankershim Blvd, North Hollywood, CA 91601-1006 | 2006-06-16 |
| 1073161410 | Joyce Kong | Pharmacy | 4744 Lankershim Blvd, North Hollywood, CA 91602-1833 | 2019-08-28 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on RIVERSIDE PARK PHARMACY INC.
| 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.