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RIVERSTONE PHARMACY
NPI 1710956537
Pharmacy in Blue Ridge, GA

Active since March 15, 2006CLIA 11D2345848 · Waiver
101 RIVERSTONE VIS, SUITE 100, BLUE RIDGE, GA 30513(706) 258-2294(706) 258-4149 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Riverstone Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSTONE PHARMACY (NPI 1710956537) is a healthcare organization registered as a pharmacy in Blue Ridge, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Sherry Lynn Petraroli, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1710956537
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameRIVERSTONE PHARMACY
Location Address101 RIVERSTONE VIS, SUITE 100Blue Ridge, GA 30513-6648
Mailing Address101 Riverstone Vis, Suite 100Blue Ridge, GA 30513-6648 · (706) 258-2294 · Fax (706) 258-4149
Phone(706) 258-2294
Fax(706) 258-4149
Organization SubpartNo
Authorized OfficialSherry Lynn PetraroliPharmacist In Charge · (706) 258-2294
Enumeration DateMarch 15, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1710956537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE008584
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
101 RIVERSTONE VIS, Blue Ridge, GA 30513
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Other Identifiers 2

Medicaid00942719AGA
Other1149500Nabp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2345848

Riverstone Pharmacy · Blue Ridge, GA
Active · expires Jun 17, 2028
CLIA Number11D2345848
Laboratory TypePharmacy
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorTammy N. Dorsey
Laboratory Phone(706) 258-4157
Laboratory LocationRiverstone Pharmacy101 Riverstone Vista, Suite 107, Blue Ridge, GA 30513
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNESTONE HEART PHYSICIANS GROUP
Internal Medicine (Cardiovascular Disease)
101 RIVERSTONE VIS, SUITE 217
BLUE RIDGE, GA 30513
Fannin County (706) 632-8008
TRILOGY INTEGRATED HEALTH CARE
Social Worker (Clinical)
101 RIVERSTONE VIS, SUITE 101
BLUE RIDGE, GA 30513
Fannin County (706) 632-4400
RIVERSTONE URGENT CARE CENTER
Clinic/Center (Urgent Care)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Fannin County (706) 258-4400
DR. ELIAS GEORGES ISSA MD
Internal Medicine
101 RIVERSTONE VIS, SUITE 207
BLUE RIDGE, GA 30513
Fannin County (706) 964-4210
RIVERSTONE IMAGING CENTER
Clinic/Center (Radiology)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Fannin County (706) 258-4120
IMMEDIATE MEDCARE OF RIVERSTONE,LLC
Clinic/Center (Urgent Care)
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513
Fannin County (706) 258-4400
MS. TRACY L. ALLEN P.A.
Physician Assistant (Medical)
101 RIVERSTONE VIS, SUITE 111
BLUE RIDGE, GA 30513
Fannin County (706) 946-4200
MS. LAURA ELIZABETH PARKER LPC
Counselor (Professional)
101 RIVERSTONE VIS, SUITE 201 A
BLUE RIDGE, GA 30513
Fannin County (770) 235-1059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverstone Pharmacy's NPI number?

The NPI number for Riverstone Pharmacy is 1710956537. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Riverstone Pharmacy located?

Riverstone Pharmacy is located at 101 Riverstone Vis Suite 100, Blue Ridge, GA 30513. The listed phone number is (706) 258-2294.

What is Riverstone Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Riverstone Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2345848) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverstone Pharmacy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.