RIVERDALE HEALTHY LIFE INC (NPI# 1891231122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891231122 |
Entity Type | Organization |
Organization Name | RIVERDALE HEALTHY LIFE INC |
Other Organization Name | TRI-ROAD PHARMACY |
Practice Address |
791 Westchester Ave Bronx NY 10455-1722 |
Practice Telephone | 9175705169 |
Practice Fax Number | 7184839522 |
Mailing Telephone | 7186187692 |
Mailing Fax Number | 7184839522 |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-03-13 |
Authorized Official Name | MICHAEL HADDAD (OWNER) |
Authorized Official Telephone | 9175705169 |
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 |
034827 | NY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2167019 | 01 |
Other Name | Type Code |
---|---|
Tri-Road Pharmacy | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | RIVERDALE HEALTHY LIFE INC. | 791 Westchester Avenue, Bronx, New York 10455 |
Street Address |
791 WESTCHESTER AVE |
City | BRONX |
State | NY |
Zip Code | 10455-1722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538644034 | Adedeji Adegbamigbe Jr. | Pharmacist | 791 Westchester Ave, Bronx, NY 10455-1722 | 2018-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
Find all providers in zip 10455 |
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] |
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1205449444 | 167 Rx Inc | Pharmacy | 55 E 167th St, Bronx, NY 10452-8206 | 2020-08-27 |
1497366025 | Sobro Pharmacy Inc. | Pharmacy | 2550 3rd Ave, Bronx, NY 10454-1261 | 2020-08-17 |
1548871684 | S&n Nyc Inc | Pharmacy | 938 E Gun Hill Rd, Bronx, NY 10469-3708 | 2020-08-12 |
1790395754 | Bronx Chemists Rx Inc | Pharmacy | 1764 E 174th St, Bronx, NY 10472-1842 | 2020-08-05 |
1255964904 | Zahid Khan | Pharmacy | 1160 E Tremont Ave, Bronx, NY 10460-2452 | 2020-02-20 |
1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
1548806243 | Insta Drugs Inc | Pharmacy | 584a E 187th St, Bronx, NY 10458-6702 | 2019-11-18 |
1730724691 | Lpj Rx Inc | Pharmacy | 209 E 165th St, Bronx, NY 10456-6017 | 2019-11-14 |
1043853252 | Hub Pharmacy Rx Corp | Pharmacy | 288 E 149th St, Bronx, NY 10451-5630 | 2019-10-21 |
1609427749 | Claremont Rx Inc | Pharmacy | 243 E 172nd St, Bronx, NY 10457-8902 | 2019-09-20 |
Find all providers in BRONX |
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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.