NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Phila, PA
National Provider Identifier
1083029607
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP1003402 Issued in PA
Legal business name
RITE AID
Practice address
4641 Chestnut St
Phila, PA 19139-4612
Phone
(215) 474-5447
Fax
(215) 474-5429
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Mr. Kofi O AbanquahNPI 1023418381
Title
Pharmacy Manager
Phone
(215) 474-5447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP1003402 PA Primary

Addresses

Primary practice location

4641 Chestnut St
Phila, PA 19139-4612

Mailing address

4641 Chestnut Street
Phila, PA 19139
Phone (215) 474-5447

National Provider Directory

National Provider Directory

Locations

4641 Chestnut St
Philadelphia, PA 19139
Phone (215) 474-5447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1083029607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 CHESTNUT STREET",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19139",
            "telephone_number": "215-474-5447",
            "fax_number": "215-474-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191394612",
            "telephone_number": "215-474-5447",
            "fax_number": "215-474-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "ABANQUAH",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-474-5447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP1003402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.