NPIMap

Organization Active NPI

Rite Aid

  • Community/Behavioral Health Agency
  • Redding, CA
National Provider Identifier
1164827739
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
71461 Issued in CA
Legal business name
RITE AID
Practice address
975 E Cypress Ave
Redding, CA 96002-1045
Phone
(530) 223-3930
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Peter Tenerelli
Title
Pharmacy District Manager
Phone
(206) 331-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 71461 CA Primary

Addresses

Primary practice location

975 E Cypress Ave
Redding, CA 96002-1045

Mailing address

975 E Cypress Ave
Redding, CA 96002-1045
Phone (530) 223-3930

Other identifiers 1

IdentifierTypeStateIssuer
183500000XOtherCAPHARMACIST

Other names 1

  • Thrifty Payless Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1164827739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E CYPRESS AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021045",
            "telephone_number": "530-223-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E CYPRESS AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021045",
            "telephone_number": "530-223-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "TENERELLI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "206-331-2710"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "71461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "183500000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrifty Payless",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.