Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Canoga Park, CA
National Provider Identifier
1104119692
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
59544 Issued in CA
Legal business name
RITE AID PHARMACY
Practice address
8230 Topanga Canyon Blvd
Canoga Park, CA 91304-3840
Phone
(818) 348-5126
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Mrs. Krutika V. Gujarathi, B. PHARMNPI 1396030755
Title
Registered Pharmacist
Phone
(818) 704-7671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 59544 CA Primary

Addresses

Primary practice location

8230 Topanga Canyon Blvd
Canoga Park, CA 91304-3840

Mailing address

6530 Independence Ave Apt 210
Canoga Park, CA 91303-2984
Phone (818) 704-7671

Other identifiers 1

IdentifierTypeStateIssuer
183500000XOtherCAPHARMACIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1104119692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 INDEPENDENCE AVE APT 210",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032984",
            "telephone_number": "818-704-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 TOPANGA CANYON BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043840",
            "telephone_number": "818-348-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "GUJARATHI",
        "authorized_official_first_name": "KRUTIKA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "818-704-7671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B. PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "59544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "183500000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.