Riverside Pharmacy Llc
Community/Retail Pharmacy
540 Riverside Dr, Salisbury
Maryland, 21801-5352
410-742-1188 410-742-3408
Riverside Pharmacy Llc is a Community/Retail Pharmacy in Salisbury, Maryland. It is located at 540 Riverside Dr, Salisbury and it's customer support contact number is 410-742-1188. The authorized person of Riverside Pharmacy Llc is Sanjay L Rayathatha who is Member/owner of the pharmacy and his contact number is 410-742-1188. Active license number of Riverside Pharmacy Llc is P00296 for Community/Retail Pharmacy in Maryland. Riverside Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Riverside Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Riverside Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Riverside Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 540 Riverside Dr, Salisbury,
Maryland, 21801-5352 |
| Phone: | 410-742-1188 |
| Fax: | 410-742-3408 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Sanjay L Rayathatha |
| Position: | Member/owner |
| Contact Number: | 410-742-1188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013014935 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 03 Apr, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Riverside Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P00296 | Maryland | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2032824 | Other | | Pk |
| 473628100 | Medicaid | Maryland | |
| 040752600 | Medicaid | Maryland | |
Medicare Enrollment:
Riverside Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5597880211 | O20100917000187 | Gordys Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5597880211 | O20100930069354 | Gordys Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Riverside Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 540 Riverside Dr Ste 1,
Salisbury, Maryland |
| Zip: | 21801-5352 |
| Phone Number: | 410-742-1188 |
| Fax Number: | 410-742-3408 |
Patients can reach Riverside Pharmacy Llc at
540 Riverside Dr, Salisbury, Maryland or can
call on customer care at 410-742-1188.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.