Organization Active NPI

Riteaid Pharmacy

  • Community/Retail Pharmacy
  • Mechanicsburg, PA
National Provider Identifier
1124431416
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP447059 Issued in PA
Legal business name
RITEAID PHARMACY
Practice address
4957 Carlisle Pike
Pharmacy
Mechanicsburg, PA 17050-3025
Phone
(717) 975-0117
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Nancy Opoku-Gyebi, PHARMD, MPANPI 1386057263
Title
Pharmacist
Phone
(717) 975-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP447059 PA Primary

Addresses

Primary practice location

4957 Carlisle Pike
Pharmacy
Mechanicsburg, PA 17050-3025

Mailing address

4957 Carlisle Pike
Pharmacy
Mechanicsburg, PA 17050-3025
Phone (717) 975-0117

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 13

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

View all 13

Locations

4957 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 975-0117

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1124431416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 CARLISLE PIKE",
            "address_2": "PHARMACY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503025",
            "telephone_number": "717-975-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 CARLISLE PIKE",
            "address_2": "PHARMACY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503025",
            "telephone_number": "717-975-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "OPOKU-GYEBI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "717-975-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, MPA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP447059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.