MEDICARE: DR. KEVIN JOSEPH RIVERS PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	45975	FL

General Provider Information

NPI Number	:	1447183561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN JOSEPH RIVERS PHARM.D

Provider Business Mailing Address
First Line	:	2539 BARWICK ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4207
Country	:	US
Telephone Number	:	919-710-9989
Fax Number	:

Provider Business Practice Location Address
First Line	:	2539 BARWICK ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4207
Country	:	US
Telephone Number	:	919-710-9989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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