Rite Aid of Connecticut Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1666 Issued in CT

Legal business name

RITE AID OF CONNECTICUT INC

Practice address

70 Elm Street
West Haven, CT 06516-3810

Phone

(203) 933-5260

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer M Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 01839 Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Hoffman

  • Registered Nurse
  • West Haven, CT
  • NPI 1326721150
  NPD (past)
• Oumaima Sahbani, PHARMD

  • Pharmacist
  • West Haven, CT
  • NPI 1073017430
  NPD (past)
• Bopta Serey, PHARM.D

  • Pharmacist
  • Long Beach, CA
  • NPI 1396289369
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1245302728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ELM STREET",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163810",
            "telephone_number": "203-933-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF CONNECTICUT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "004186848",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0717605",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004186830",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 01839",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Rice, ATC, LAT, CSCS
• Richard B. Feldman, D.P.M., LLC
• Anthony Richardson, LPC
• Emajae Ricketts, LPC
• Paula Andrea Rios
• Rebecca Lynne Ritter, PHARM.D.
• Donnamarie Rivera, LMFT, LADC
• Robert P. Mingrone, O.D.
• Andrea Elizabeth Roberts, MD
• Sherly Roc, NP-C, MSN

• Community/Retail Pharmacy in West Haven, CT
• Providers in West Haven, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.