Organization Active NPI

Rite Aid

  • Community Health Clinic/Center
  • Sunland, CA
National Provider Identifier
1194193417
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
73225 Issued in CA
Legal business name
RITE AID
Practice address
10465 Sunland Blvd
Sunland, CA 91040-1905
Phone
(818) 352-4129
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Beshoy Isaac Gerges, PHARMDNPI 1487019469
Title
Pharmacist
Phone
(818) 309-6342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 73225 CA Primary

Addresses

Primary practice location

10465 Sunland Blvd
Sunland, CA 91040-1905

Mailing address

16820 Blackhawk St
Granada Hills, CA 91344-7301
Phone (818) 309-6342

National Provider Directory

National Provider Directory

Locations

10465 Sunland Blvd
Sunland, CA 91040
Phone (818) 352-4129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1194193417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 BLACKHAWK ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447301",
            "telephone_number": "818-309-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 SUNLAND BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401905",
            "telephone_number": "818-352-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "BESHOY",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-309-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "73225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.