Active NPI
Rite Aid Pharmacy
- Pharmacist
- Lebanon, OR
National Provider Identifier
1215227178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12329
- Legal business name
- RITE AID PHARMACY
- Practice address
- 30 E Oak St
Lebanon, OR 97355-3222 - Phone
- (541) 451-8024
- NPI assigned
- Apr 13, 2011
- 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
- Kim Andrews, PHARMD
- Title
- Pharmacist
- Phone
- (541) 451-8024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12329 | OR | Primary |
Addresses
Primary practice location
30 E Oak St
Lebanon, OR 97355-3222
Mailing address
30 E Oak St
Lebanon, OR 97355-3222
Phone (541) 451-8024
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1215227178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E OAK ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553222",
"telephone_number": "541-451-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E OAK ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553222",
"telephone_number": "541-451-8024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "541-451-8024",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OR",
"license": "12329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.