NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Akron, OH
National Provider Identifier
1124560271
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH.03136175-1 Issued in OH
Legal business name
RITE AID PHARMACY
Practice address
4053 S Main St
Akron, OH 44319-3668
Phone
(330) 644-9911
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Jake Kruchinski
Title
Pharmacist
Phone
(518) 681-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH.03136175-1 OH Primary

Addresses

Primary practice location

4053 S Main St
Akron, OH 44319-3668

Mailing address

7126 Wales Berry Ave NW Apt a
North Canton, OH 44720-8745

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid of Ohio Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4053 S Main St
Green, OH 44319
Phone (330) 644-9911

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1124560271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 WALES BERRY AVE NW APT A",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193668",
            "telephone_number": "330-644-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "KRUCHINSKI",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "518-681-2173"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03136175-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.