NPIMap

Organization Active NPI

Rite Aid Corporation

  • Pharmacist
  • San Jacinto, CA
National Provider Identifier
1124314182
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 45917 Issued in CA
Legal business name
RITE AID CORPORATION
Practice address
1605 S San Jacinto Ave
San Jacinto, CA 92583-5181
Phone
(951) 654-4734
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. Farooq A Patel, RPH
Title
Pharmacist
Phone
(951) 654-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 45917 CA Primary

Addresses

Primary practice location

1605 S San Jacinto Ave
San Jacinto, CA 92583-5181

Mailing address

4345 Cloudywing Rd
Hemet, CA 92545-8948

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1605 S San Jacinto Ave
San Jacinto, CA 92583
Phone (951) 654-4734

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1124314182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 CLOUDYWING RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835181",
            "telephone_number": "951-654-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "951-654-4734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 45917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.