1. Home
  2. Directory
  3. Illinois
  4. Kankakee
  5. Pharmacy
  6. NPI Profile

RIVERSIDE MEDICAL CENTER
NPI 1922164458
Pharmacy - Home Infusion Therapy Pharmacy in Kankakee, IL

Active since December 29, 2006
350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Riverside Medical Center NPPES

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

RIVERSIDE MEDICAL CENTER (NPI 1922164458) is a healthcare organization registered as a home infusion therapy pharmacy in Kankakee, Illinois and active in the NPI registry since December 2006. The organization lists Bill Douglas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922164458
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NameRIVERSIDE MEDICAL CENTER
Location Address350 N WALL STKankakee, IL 60901-2901
Mailing Address350 N Wall StKankakee, IL 60901-2901 · (815) 933-1671
Phone(815) 933-1671
Organization SubpartYes
Authorized OfficialBill DouglasCfo · (815) 935-7256
Enumeration DateDecember 29, 2006
Last NPPES UpdateApril 28, 2008
✔ NPI 1922164458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
License✔ Licensed in IL · 980844
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
350 N WALL ST, Kankakee, IL 60901
Open in Google Maps ↗

Other Identifiers 4

Other216396IL · Personal Care
Medicare NSC1233990001IL
Other04630122IL · Blue Shield
Medicaid=========010IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20100930027979DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

PRIT SHAH
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (617) 638-6500
SOUND PHYSICIANS OF KANKAKEE ILLINOIS, LLC
Hospitalist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MRS. KATHLEEN ANN HUBERT PTA
Physical Therapy Assistant
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7514
MEGAN L LUCAS PHARMD, MHA
Pharmacist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
TRISHA ANDREWS MD
Internal Medicine
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MUHAMMAD AFFAN KHALID
Student in an Organized Health Care Education/Training Program
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
TIPPECANOE ANESTHESIA SERVICES LLC
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7504
DR. HOWARD I ROTH M.D.
Radiology (Vascular & Interventional Radiology)
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671

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 Riverside Medical Center's NPI number?

The NPI number for Riverside Medical Center is 1922164458. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Riverside Medical Center located?

Riverside Medical Center is located at 350 N Wall St, Kankakee, IL 60901. The listed phone number is (815) 933-1671.

What is Riverside Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Is Riverside Medical Center enrolled in Medicare?

Yes. Riverside Medical Center is registered in the Medicare PECOS enrollment system.

When is Riverside Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Riverside Medical Center accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Riverside Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Medical Center was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.