NPIMap

Organization Active NPI

Rite Aid Specialty Pharmacy LLC

  • Pharmacist
  • Ferndale, WA
National Provider Identifier
1144633348
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60393400 Issued in WA
Legal business name
RITE AID SPECIALTY PHARMACY LLC
Practice address
5785 Church Rd
Ferndale, WA 98248-9647
Phone
(818) 748-5716
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Tam Thanh Tran, RPHNPI 1003267691
Title
Pharmacist
Phone
(818) 748-5716

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 MULTIPLE SINGLE SPECIALTY GROUP 183500000X 60393400 WA Primary

Addresses

Primary practice location

5785 Church Rd
Ferndale, WA 98248-9647

Mailing address

5785 Church Rd
Ferndale, WA 98248-9647
Phone (818) 748-5716

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Specialty Pharmacy LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1144633348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CHURCH RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489647",
            "telephone_number": "818-748-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CHURCH RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489647",
            "telephone_number": "818-748-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-748-5716",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60393400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.