MEDICARE: RIVERVIEW PHARMACIES INC

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	3336L0003X	Long Term Care Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	054006576	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2022525	OTHER		PK

General Provider Information

NPI Number	:	1588779516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERVIEW PHARMACIES INC

Provider Business Mailing Address
First Line	:	475 BROWN BLVD
Second Line	:	SUITE 105
City	:	BOURBONNAIS
State	:	IL
Zip	:	60914-2325
Country	:	US
Telephone Number	:	815-933-1735
Fax Number	:	815-933-3370

Provider Business Practice Location Address
First Line	:	475 BROWN BLVD
Second Line	:	SUITE 105
City	:	BOURBONNAIS
State	:	IL
Zip	:	60914-2325
Country	:	US
Telephone Number	:	815-933-1735
Fax Number	:	815-933-3370

Authorized Official
Title or Position	:	MANAGER
Name	:	JOHN HALL
Credential	:
Telephone Number	:	815-933-1735

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	06/09/2022

Similar Medicare Providers

1669472262 — DR. DAVID SCOTT CHUDWIN M.D.
Practice Location Address:

475 BROWN BLVD
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-933-5092
Practice Fax: 815-933-5494

1376536615 — DR. AVTAR K RAZDAN I M.D.
Practice Location Address:

475 BROWN BLVD , SUITE 102
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-939-0003
Practice Fax: 815-935-4908

1447283692 — DR. REYNALDO ELAZEGUI NEPOMUCENO M.D.
Practice Location Address:

475 BROWN BLVD , SUITE 106
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-937-8786
Practice Fax: 815-937-2067

1437175148 — DR. JENNIFER PABLO NEPOMUCENO M.D.
Practice Location Address:

475 BROWN BLVD , SUITE 106
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-937-8786
Practice Fax: 815-937-2067

1760591879 — DR. DAVID EUGENE KRAUSE M.D.
Practice Location Address:

475 BROWN BLVD STE 106
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-933-8020
Practice Fax: 815-933-8068

1205910114 — TERRILL APPLEWHITE M.D.
Practice Location Address:

475 BROWN BLVD STE 103
BOURBONNAIS, IL
60914-2325

Practice Phone: 815-937-7962
Practice Fax: 815-936-8650

Directions to “RIVERVIEW PHARMACIES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.