Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH43356 Issued in CA

Legal business name

RITE AID

Practice address

30222 Crown Valley Pkwy
Laguna Niguel, CA 92677-2332

Phone

(949) 495-5823

Fax

(949) 495-7981

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jenny Lee

Title

Pharmacist

Phone

(949) 499-5157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1013228055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30222 CROWN VALLEY PKWY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772332",
            "telephone_number": "949-495-5823",
            "fax_number": "949-495-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30222 CROWN VALLEY PKWY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772332",
            "telephone_number": "949-495-5823",
            "fax_number": "949-495-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "949-499-5157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH43356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.