Provider Demographics
NPI:1538101316
Name:RIVERVIEW CHEMISTS INC
Entity Type:Organization
Organization Name:RIVERVIEW CHEMISTS INC
Other - Org Name:RIVERDALE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINTANKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-543-7500
Mailing Address - Street 1:5669 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2105
Mailing Address - Country:US
Mailing Address - Phone:718-543-7500
Mailing Address - Fax:718-543-1421
Practice Address - Street 1:5669 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2105
Practice Address - Country:US
Practice Address - Phone:718-543-7500
Practice Address - Fax:718-543-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0195693336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2065037OtherPK
NY01038944Medicaid