NPIMap

Organization Active NPI

Riteaid

  • Pharmacist
  • Chino, CA
National Provider Identifier
1194154245
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69536 Issued in CA
Legal business name
RITEAID
Practice address
12059 Central Ave
Riteaid #5579
Chino, CA 91710-1908
Phone
(909) 627-4012
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Claire Attia, PHARMD
Title
PDM
Phone
(626) 513-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 69536 CA Primary

Addresses

Primary practice location

12059 Central Ave
Riteaid #5579
Chino, CA 91710-1908

Mailing address

23413 Clayhorn Dr
Diamond Bar, CA 91765-1953
Phone (408) 406-5006

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid 554419 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

12059 Central Ave
#5579
Chino, CA 91710
Phone (909) 627-4012

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1194154245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23413 CLAYHORN DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651953",
            "telephone_number": "408-406-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12059 CENTRAL AVE",
            "address_2": "RITEAID #5579",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101908",
            "telephone_number": "909-627-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PDM",
        "authorized_official_telephone_number": "626-513-3201",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.