Healthcare Provider Details

I. General information

NPI: 1386793958
Provider Name (Legal Business Name): RIVERVIEW ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W MAIN ST
HERINGTON KS
67449-2244
US

IV. Provider business mailing address

2 W MAIN ST
HERINGTON KS
67449-2244
US

V. Phone/Fax

Practice location:
  • Phone: 785-258-3703
  • Fax: 785-258-2282
Mailing address:
  • Phone: 785-258-3703
  • Fax: 785-258-2282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2-10457
License Number StateKS

VIII. Authorized Official

Name: DAVID RZIHA
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 785-258-3703