Active NPI
Rite Aid
- Community/Retail Pharmacy
- Phila, PA
National Provider Identifier
1083029607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP1003402
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kofi O Abanquah
- Title
- Pharmacy Manager
- Phone
- (215) 474-5447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
4641 Chestnut St
Philadelphia, PA 19139
Phone (215) 474-5447
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.