NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Hoover, AL
National Provider Identifier
1043628621
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17808 Issued in AL
Legal business name
RITE AID PHARMACY
Practice address
1615 Montgomery Hwy
Hoover, AL 35216-4901
Phone
(205) 823-6091
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Mr. Jeff Church, RPH
Title
Pharmacy District Manager
Phone
(205) 824-3652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 17808 AL Primary

Addresses

Primary practice location

1615 Montgomery Hwy
Hoover, AL 35216-4901

Mailing address

100 Centerview Dr
Suite 120
Vestavia, AL 35216-3747
Phone (205) 824-3652

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1615 Montgomery Hwy
Hoover, AL 35216
Phone (205) 823-6091

100 Centerview Dr
Ste 120
Vestavia Hills, AL 35216

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1043628621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR",
            "address_2": "SUITE 120",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163747",
            "telephone_number": "205-824-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164901",
            "telephone_number": "205-823-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "205-824-3652",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.