NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Flint, MI
National Provider Identifier
1194138750
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302040683 Issued in MI
Legal business name
RITE AID PHARMACY
Practice address
3521 Corunna Rd
Flint, MI 48503-3267
Phone
(810) 235-6363
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Dr. Ibrahima Ngom
Title
Pharmacy Manger
Phone
(810) 235-6363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 5302040683 MI Primary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 03331105 OH

Addresses

Primary practice location

3521 Corunna Rd
Flint, MI 48503-3267

Mailing address

3521 Corunna Rd
Flint, MI 48503-3267
Phone (810) 235-6363

National Provider Directory

National Provider Directory

Locations

3521 Corunna Rd
Flint, MI 48503
Phone (810) 233-6363

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1194138750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033267",
            "telephone_number": "810-235-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033267",
            "telephone_number": "810-235-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "NGOM",
        "authorized_official_first_name": "IBRAHIMA",
        "authorized_official_title_or_position": "PHARMACY MANGER",
        "authorized_official_telephone_number": "810-235-6363",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040683",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.