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Export Provider Record NPI 1104166552
Riviera Drugs Llc
Organization Subpart: NO
Active
NPI Number1104166552
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1104166552
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2013-02-21
Last Updated2016-06-23
Authorized OfficialShalendra Cherukuri
member
Phone: 2674082937
Mailing Address8541 Fort Smallwood Rd Ste G
Pasadena, MD 21122-2676
United States
Phone: (410) 255-1800 | Fax: (410) 255-1900
📍 View Map
Primary Practice Address8541 Fort Smallwood Rd, Unit G
Pasadena, MD 21122-2676
United States
Phone: (410) 255-1800 | Fax: (410) 255-1900
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2139284PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMDP05941
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About NPI 1104166552

Riviera Drugs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104166552. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Pasadena, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-02-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104166552?

NPI 1104166552 belongs to Riviera Drugs Llc, a Pharmacy, Community/Retail Pharmacy in Pasadena, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104166552 active?

The current status of NPI 1104166552 in the NPPES registry is Active. The record was last updated on 2016-06-23.

What specialty is NPI 1104166552?

NPI 1104166552 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104166552?

You can verify NPI 1104166552 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104166552?

The primary practice address on file for NPI 1104166552 is 8541 Fort Smallwood Rd, Pasadena, MD 21122-2676. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104166552 issued?

NPI 1104166552 was first issued (enumerated) on 2013-02-21. The NPPES record was last updated on 2016-06-23.

Practice Location Map

Riviera Drugs Llc is located at 8541 Fort Smallwood Rd, Pasadena, MD. Use the map below to find directions or verify the practice location.

📍 8541 Fort Smallwood Rd, Pasadena, MD 21122-2676  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Riviera Drugs Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104166552. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyP05941MD
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162