Active NPI
Rite Aid of Virginia Inc
Doing business as Rite Aid Pharmacy 04820
- Community/Retail Pharmacy
- Colonial Heights, VA
National Provider Identifier
1124137435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003474
- Legal business name
- RITE AID OF VIRGINIA INC
- Doing business as
- Rite Aid Pharmacy 04820
- Practice address
- 3210 Boulevard
Colonial Heights, VA 23834-1456 - Phone
- (804) 520-9641
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201003474 | VA | Primary |
Addresses
Primary practice location
3210 Boulevard
Colonial Heights, VA 23834-1456
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 04820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000781 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244281293 |
This NPI is an additional NPI on the enrollment Practice locations: Norfolk, VA; Portsmouth, VA; Richmond, VA; Scottsville, VA; Suffolk, VA; Virginia Beach, VA; Hopewell, VA; Newport News, VA… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
-
- Pharmacist
- Colonial Heights, VA
- NPI 1427356807
-
- Pharmacist
- Colonial Heights, VA
- NPI 1467868695
-
- Pharmacist
- Colonial Heights, VA
- NPI 1831632199
-
- Pharmacy Technician
- Colonial Heights, VA
- NPI 1689379125
NPI Registry JSON
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": "1124137435",
"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": "3210 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341456",
"telephone_number": "804-520-9641"
}
],
"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": "MANAGER ONLINE ADJUDICATION",
"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": "0201003474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 04820",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RITE AID PHARMACY 04820",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colonial Heights, VA
- Riccobene & Associates Ccii, DDS, PC (Commonwealth Specialty - Colonial Heights)
- Riccobene & Associates Ccii, DDS, PC (Commonwealth Specialty - Colonial Heights Peds)
- Richard W Bates DDS
- Richard W. Bates DDS
- William Kyle Richardson, DPT
- Riversbend Hospitalists P.C. (RBH Medical Center)
- Riverside Builders LLC
- Lakeisha Yvonne Rives
- Richard Fleming Roadcap, D.D.S.
- Alexis Robinson
Sources for this page
- 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.