Provider Demographics
NPI:1760991053
Name:RIVER PARK RX LLC
Entity Type:Organization
Organization Name:RIVER PARK RX LLC
Other - Org Name:RIVER PARK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PADMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-726-6969
Mailing Address - Street 1:1804 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-2706
Mailing Address - Country:US
Mailing Address - Phone:347-726-6969
Mailing Address - Fax:
Practice Address - Street 1:1804 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-2706
Practice Address - Country:US
Practice Address - Phone:347-726-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy