NPIMap

Organization Active NPI

Rite Aid Corporation

  • Pharmacist
  • Nottingham, MD
National Provider Identifier
1154798106
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23543 Issued in MD
Legal business name
RITE AID CORPORATION
Practice address
4339 Ebenezer Rd
Nottingham, MD 21236-2143
Phone
(443) 600-6519
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Ansu Green
Title
Pharmacy Development Manager
Phone
(443) 425-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 23543 MD Primary

Addresses

Primary practice location

4339 Ebenezer Rd
Nottingham, MD 21236-2143

Mailing address

4339 Ebenezer Rd
Nottingham, MD 21236-2143
Phone (410) 529-8510

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1154798106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "443-600-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANSU",
        "authorized_official_title_or_position": "PHARMACY DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "443-425-6332"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.