Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Parma, OH
National Provider Identifier
1134533631
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03331264 Issued in OH
Legal business name
RITE AID PHARMACY
Practice address
5455 Ridge Rd
Parma, OH 44129-2369
Phone
(440) 886-2148
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Dr. Jennifer Lynn Krivonak, PHARMD, RPHNPI 1366914640
Title
Pharmacist
Phone
(330) 559-9494

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 03331264 OH Primary

Addresses

Primary practice location

5455 Ridge Rd
Parma, OH 44129-2369

Mailing address

10275 S Red Oak
N Royalton, OH 44133-3382
Phone (330) 559-9494

National Provider Directory

National Provider Directory

Locations

5455 Ridge Rd
Parma, OH 44129
Phone (440) 886-2148

Practitioners & affiliated clinicians

Practitioners 1

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": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1134533631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 S RED OAK",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441333382",
            "telephone_number": "330-559-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292369",
            "telephone_number": "440-886-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "KRIVONAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "330-559-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.