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Contact Information

RIVERSIDE PHARMACY ASSOCIATES, LLC
616 NW PLATTE VALLEY DR
RIVERSIDE, MO64150-9798
 Phone: 855-257-2584
 Fax: 816-741-8849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RIVERSIDE PHARMACY ASSOCIATES, LLC

NPI # 1730475112
LBN Legal business name RIVERSIDE PHARMACY ASSOCIATES, LLC
Authorized official WILLIAM SEIBELS - (PRESIDENT AND CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2011
Last updated 11/20/2025 - About 7 months ago
Identifiers
MO License # 2011022879
MO Medicaid 606572501
Other 2130839 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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