Rite Aid of New York Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021825 Issued in NY

Legal business name

RITE AID OF NEW YORK INC

Practice address

1410 Delaware Avenue
Buffalo, NY 14209-1111

Phone

(716) 885-9944

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 03521 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• Joseph Gerard Belair, PHARM. D.

  • Pharmacist
  • Buffalo, NY
  • NPI 1942485628
  NPD (past)
• Laura A Boyack, CPHT

  • Pharmacy Technician
  • Buffalo, NY
  • NPI 1013611557
  NPD (past)
• Jessica D'Amour, PHARMD, RPH

  • Pharmacist
  • Amherst, NY
  • NPI 1689008724
  NPD (past)
• Natali Ninova

  • Pharmacist
  • Buffalo, NY
  • NPI 1205557667
  NPD (past)
• Robert J Rebholz, RPH, PHARMD

  • Pharmacist
  • Buffalo, NY
  • NPI 1033387089
  NPD (past)
• Gautam Kumar Bhardwaja, PHARM.D.

  • Pharmacist
  • Aurora, CO
  • NPI 1063735363
  NPD (past)
• Nathaniel Allen Page, PHARM.D

  • Pharmacist
  • Bar Harbor, ME
  • NPI 1467644039
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1154430635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 DELAWARE AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091111",
            "telephone_number": "716-885-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3333767",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01427903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 03521",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele C Rishell, OTR/L
• Rising Phoenix Transport LLC
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc
• Rite Aid of New York Inc

• Community/Retail Pharmacy in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.