Rite Aid of Virginia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001261 Issued in VA

Legal business name

RITE AID OF VIRGINIA INC

Doing business as

Rite Aid Pharmacy 00764

Practice address

5210 Oaklawn Boulevard
The Crossings
Hopewell, VA 23860-7336

Phone

(804) 458-8688

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Director

Phone

(717) 975-5937

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 00764 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 6

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

• Evelyn Benedict

  • Pharmacy Technician
  • Hopewell, VA
  • NPI 1366131039
  NPD (past)
• Jana Leigh Ellis IX

  • Pharmacist
  • North Prince George, VA
  • NPI 1487399895
  NPD (past)
• Robin Heilbrun, R.PH.

  • Pharmacist
  • North Prince George, VA
  • NPI 1447659941
  NPD (past)
• Dominque J Knight, PHARM.D.

  • Pharmacist
  • North Prince George, VA
  • NPI 1699407056
  NPD (past)
• David Albert Martell, RPH

  • Pharmacist
  • Hopewell, VA
  • NPI 1346548070
  NPD (past)
• Emmanuel Ndubueze

  • Pharmacist
  • Hopewell, VA
  • NPI 1336447978
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1114036415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 OAKLAWN BOULEVARD",
            "address_2": "THE CROSSINGS",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238607336",
            "telephone_number": "804-458-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4803640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008509913",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 00764",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RITE AID PHARMACY 00764",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renal Treatment Centers Mid Atlantic Inc (Hopewell Dialysis Center)
• Sarah Revels
• John Wallin Reynolds, MD
• Hope Davis Richardson, LCSW
• Mark A Richter, M.D., M.P.H.
• Rite Aid of Virginia Inc (Rite Aid Pharmacy 03705)
• Katherine Christine Roach, AGACNP-BC
• Kayla Rose Robinson
• Rochelle Home LLC
• Rocky Mountain Holdings, LLC (AirCare Eagle)

• Community/Retail Pharmacy in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.