Rite Aid Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RPH05626 Issued in RI

Legal business name

RITE AID PHARMACY

Practice address

1665 Mineral Spring Ave
North Providence, RI 02904-4003

Phone

(401) 353-3113

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Diane Kuriscak, PHARMD

Title

Pharmacy District Manager

Phone

(774) 218-5495

Specialties & licenses 1

Addresses

Tax ID family

Rite Aid Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rite Aid Corporation

  • Community/Retail Pharmacy
  • Warren, OH
  • NPI 1134667330
  NPD tax ID

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1104370899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GANO ST",
            "address_2": "APT #4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063848",
            "telephone_number": "401-218-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044003",
            "telephone_number": "401-353-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KURISCAK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "774-218-5495",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "RPH05626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ricciotti, PT
• John Riccitelli, MSW, LICSW
• Richard P. Iacobucci MD, Inc.
• Jacqueline Richards
• Dawn M. Risi, MA IN COUNSELING
• Robert a. Paolella, M.D., Inc.
• Rachel Anderson Roberts, RD, LDN
• Melissa Robidoux, DPT
• Sara Rafael Rodrigues
• Evelyn G Rodriguez, DOULA

• Community/Retail Pharmacy in North Providence, RI
• Providers in North Providence, RI by specialty
• Community/Retail Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.