Organization Active NPI

Rite Aid

  • Pharmacist
  • Ridgefield Park, NJ
National Provider Identifier
1043611007
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03658900 Issued in NJ
Legal business name
RITE AID
Practice address
58 Hazelton St
Ridgefield Park, NJ 07660-1142
Phone
(201) 316-3169
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dhara ShahNPI 1306247366
Title
Pharmacists
Phone
(201) 316-3169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 28RI03658900 NJ Primary

Addresses

Primary practice location

58 Hazelton St
Ridgefield Park, NJ 07660-1142

Mailing address

58 Hazelton St
Ridgefield Park, NJ 07660-1142

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1043611007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HAZELTON ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HAZELTON ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601142",
            "telephone_number": "201-316-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHARA",
        "authorized_official_title_or_position": "PHARMACISTS",
        "authorized_official_telephone_number": "201-316-3169"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03658900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.