Provider Demographics
NPI:1790303865
Name:RIS RX
Entity Type:Organization
Organization Name:RIS RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:844-799-0907
Mailing Address - Street 1:351 HOSPITAL RD STE 211
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3504
Mailing Address - Country:US
Mailing Address - Phone:844-799-0907
Mailing Address - Fax:855-410-7222
Practice Address - Street 1:351 HOSPITAL RD STE 211
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3504
Practice Address - Country:US
Practice Address - Phone:844-799-0907
Practice Address - Fax:855-410-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management