Riverwest Pharmacy LLC
Pharmacy in Kankakee, IL. Organization (NPI-2).
NPI number1275825929
StatusActive
Last updated in NPPESMay 25, 2011
Details
- NPI
- 1275825929
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverwest Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2011
- Last updated
- May 25, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 054017672 | IL | Yes |
Other names
- Riverwest Pharmacy LLC (Doing Business As)
Practice location
165 S Curtis AveKankakee, IL 60901-3218
Phone 815-614-3837 · Fax 815-614-3317
Mailing address
165 S Curtis AveKankakee, IL 60901-3218
Phone 815-614-3837 · Fax 815-614-3317
Authorized official
Nader Atieh
Pharmacist In Charge-Owner
8156143837
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