NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Mentor, OH
National Provider Identifier
1225583107
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135868-1 Issued in OH
Legal business name
RITE AID PHARMACY
Practice address
7796 Munson Rd
Mentor, OH 44060-3745
Phone
(440) 257-6258
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Shelly Boyle
Title
Pharmacy District Manager
Phone
(234) 284-5838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 03135868-1 OH Primary

Addresses

Primary practice location

7796 Munson Rd
Mentor, OH 44060-3745

Mailing address

647 Robin Dr
Eastlake, OH 44095-1613
Phone (440) 289-3836

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Specialty Pharmacy LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Locations

7796 Munson Rd
Mentor, OH 44060
Phone (440) 257-6258

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1225583107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 ROBIN DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951613",
            "telephone_number": "440-289-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7796 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603745",
            "telephone_number": "440-257-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "234-284-5838"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.