Provider Demographics
NPI:1710922992
Name:RIYASH CHEMISTS INC
Entity Type:Organization
Organization Name:RIYASH CHEMISTS INC
Other - Org Name:FAIRWAY OAKS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAKSHESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-863-5600
Mailing Address - Street 1:15906 BADEN PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1127
Mailing Address - Country:US
Mailing Address - Phone:813-765-9720
Mailing Address - Fax:
Practice Address - Street 1:13716 LITTLE RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-8024
Practice Address - Country:US
Practice Address - Phone:727-863-5600
Practice Address - Fax:727-863-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
FLPH217733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1017094OtherNCPDP PROVIDER IDENTIFICATION NUMBER