Organization Active NPI

Rite Aid Pharmacy

  • Community Health Clinic/Center
  • Goleta, CA
National Provider Identifier
1013373638
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
PHY42635 Issued in CA
Legal business name
RITE AID PHARMACY
Practice address
199 N Fairview Ave
Goleta, CA 93117-2304
Phone
(805) 964-9892
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Rita Ohanian
Title
Pharmacist
Phone
(619) 607-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X PHY42635 CA Primary

Addresses

Primary practice location

199 N Fairview Ave
Goleta, CA 93117-2304

Mailing address

6130 Nevada Ave Apt 323
Woodland Hills, CA 91367-3491

Other identifiers 1

IdentifierTypeStateIssuer
PHY42635OtherCAPHARMACY IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1013373638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 NEVADA AVE APT 323",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N FAIRVIEW AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172304",
            "telephone_number": "805-964-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "OHANIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "619-607-0055"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "PHY42635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY IDENTIFICATION NUMBER",
            "identifier": "PHY42635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.