Active NPI
Rite Aid
- Community Health Clinic/Center
- Sunland, CA
National Provider Identifier
1194193417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 73225
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beshoy Isaac Gerges, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Northridge, CA
- NPI 1487019469
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.