NPIMap

Organization Active NPI

Rite Aid Corporation

  • Pharmacy
  • Middletown, NY
National Provider Identifier
1013211507
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
016620 Issued in NY
Legal business name
RITE AID CORPORATION
Practice address
1 Fitzgerald Dr
Middletown, NY 10940-3059
Phone
(845) 343-2930
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edward Ullmann
Title
Pharmacy District Manager
Phone
(845) 514-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 016620 NY Primary

Addresses

Primary practice location

1 Fitzgerald Dr
Middletown, NY 10940-3059

Mailing address

30 Hunter LN
Camp Hill, PA 17011-2400
Phone (717) 761-2633

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Corporation49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

30 Hunter Ln
Camp Hill, PA 17011
Phone (404) 991-4198

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1013211507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112400",
            "telephone_number": "717-761-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FITZGERALD DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403059",
            "telephone_number": "845-343-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "ULLMANN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "845-514-4137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "016620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.