Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Sumter, SC
National Provider Identifier
1114379138
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
36619 Issued in SC
Legal business name
RITE AID
Practice address
1077 Broad St
Sumter, SC 29150-2504
Phone
(803) 778-6551
NPI assigned
Jul 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Authorized official

Name
Dr. Juan-Marie Steynburg
Title
Pharmacy District Manager
Phone
(803) 749-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 36619 SC Primary

Addresses

Primary practice location

1077 Broad St
Sumter, SC 29150-2504

Mailing address

1077 Broad St
Sumter, SC 29150-2504
Phone (803) 778-6551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467417600000",
    "number": "1114379138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502504",
            "telephone_number": "803-778-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502504",
            "telephone_number": "803-778-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-02",
        "last_updated": "2016-07-02",
        "status": "A",
        "authorized_official_last_name": "STEYNBURG",
        "authorized_official_first_name": "JUAN-MARIE",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "803-749-3750",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "36619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

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