Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1952490617


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

RITE AID OF PENNSYLVANIA LLC

Other Names:  
Doing Business As: 
RITE AID PHARMACY 04419

Organization Subpart: NO

NPI: 1952490617
Last Updated: 2020-08-17
Certification Date: 2020-08-17

Details

NameValue
NPI1952490617
Enumeration Date2006-10-12
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: JENNIFER ZOREK
Title: MANAGER ONLINE ADJUDICATION
Phone: 7179755937
Mailing Address 200 NEWBERRY COMMONS
ETTERS, PA 17319-9363
United States

Phone: 717-761-2633 | Fax:717-975-8659
 
Primary Practice Address 1529 FREEPORT ROAD
NATRONA HEIGHTS, PA 15065-1314
United States

Phone: 724-226-4725 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)PA1007292980690Medicaid DME
MEDICAIDPA1007292980690
Other (non-Medicare)3972139Other ID Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyPAPP415217L