Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

58044 Issued in CA

Legal business name

RITE AID

Practice address

15630 Ventura Blvd
Encino, CA 91436-3141

Phone

(818) 783-2449

Fax

(818) 783-7816

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abdolreza Kossarian

Title

Pharm.D.

Phone

(818) 788-8730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1093035644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363141",
            "telephone_number": "818-783-2449",
            "fax_number": "818-783-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363141",
            "telephone_number": "818-783-2449",
            "fax_number": "818-783-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "KOSSARIAN",
        "authorized_official_first_name": "ABDOLREZA",
        "authorized_official_title_or_position": "PHARM.D.",
        "authorized_official_telephone_number": "818-788-8730",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Andrew Ringstrom, PH.D., PSY.D.
• Amalia Carolina Rinkenberger
• Shannon Leigh Rios
• Melissa Ripp, PSY.D.
• Stuart Seidel Riskin, LCSW
• Juan Rivas
• RK Medical Center
• Angie Roa
• Road to Wellness Therapy
• Robert Dardashti, D.C. Incorporated

• Pharmacist in Encino, CA
• Providers in Encino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.