NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacy
  • Gambrills, MD
National Provider Identifier
1104130152
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
18251 Issued in MD
Legal business name
RITE AID PHARMACY
Practice address
2633 Brandermill Blvd
Gambrills, MD 21054-1645
Phone
(410) 451-9448
Fax
(410) 451-8615
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Woomi Kim
Title
Pharmacist
Phone
(410) 451-9448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 18251 MD Primary

Addresses

Primary practice location

2633 Brandermill Blvd
Gambrills, MD 21054-1645

Mailing address

2633 Brandermill Blvd
Gambrills, MD 21054-1645
Phone (410) 451-9448

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1104130152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541645",
            "telephone_number": "410-451-9448",
            "fax_number": "410-451-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541645",
            "telephone_number": "410-451-9448",
            "fax_number": "410-451-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WOOMI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-451-9448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "18251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.