NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacy
  • Lake Hiawatha, NJ
National Provider Identifier
1043690035
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RI03653500 Issued in NJ
Legal business name
RITE AID PHARMACY
Practice address
480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511
Phone
(973) 334-4343
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Ateeqa Samina Khalid, PHARMD
Title
Pharmacist
Phone
(862) 812-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RI03653500 NJ Primary

Addresses

Primary practice location

480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511

Mailing address

480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511
Phone (973) 334-4343

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid of New Jersey Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1043690035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342511",
            "telephone_number": "973-334-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342511",
            "telephone_number": "973-334-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "ATEEQA",
        "authorized_official_middle_name": "SAMINA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "862-812-6778",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RI03653500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.