RIVER EDGE BEHAVIORAL HEALTH CENTER NPI 1972085769

NPI Information

  • NPI: 1972085769
  • Provider Name: RIVER EDGE BEHAVIORAL HEALTH CENTER
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: RIVER EDGE BOULEVARD PHARMACY
  • Address: 265 BOULEVARD NE
    ATLANTA, GA
    ZIP 30312
  • Phone: (404) 665-8550

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NPI Details

RIVER EDGE BEHAVIORAL HEALTH CENTER is a community/retail pharmacy pharmacy in Atlanta, GA. The provider 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. RIVER EDGE BEHAVIORAL HEALTH CENTER NPI is 1972085769. The provider is registered as an organization entity type.
The provider Is Doing Business As River Edge Boulevard Pharmacy.

The provider's business location address is:

265 BOULEVARD NE
ATLANTA, GA
ZIP 30312-208
Phone: (404) 665-8550
Fax: (404) 665-8693

The provider's authorized official is Jessica Oakes .
The authorized official title is Billing Manager and has the following contact phone number (478) 803-7809.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 8/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHRE010434GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHRE010434OTHERGEORGIAGEORGIA PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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