Active NPI
Rite Aid Specialty Pharmacy LLC
- Pharmacy
- Gaithersburg, MD
National Provider Identifier
1245537430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- RITE AID SPECIALTY PHARMACY LLC
- Practice address
- 704 Quince Orchard Road
Suite 150
Gaithersburg, MD 20878-1787 - Phone
- (301) 208-8958
- NPI assigned
- Feb 24, 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
- Jennifer M Zorek
- Title
- Sr Manager Provider Enrollment
- Phone
- (717) 975-5937
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
704 Quince Orchard Road
Suite 150
Gaithersburg, MD 20878-1787
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 975-5937
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245537430 | Medicaid | VA | |
| 1245537430 | Medicaid | ID | |
| 448720600 | Medicaid | MD | |
| 7100236380 | Medicaid | KY | |
| 1245537430 | Medicaid | ME | |
| 1245537430 | Medicaid | DE | |
| 1245537430 | Medicaid | UT | |
| 201150910A | Medicaid | IN | |
| 0079170 | Medicaid | OH | |
| 1028009640001 | Medicaid | PA | |
| 1021545 | Medicaid | VT | |
| 1245537430 | Medicaid | TN | |
| 2135689 | Other | NABP | |
| 500655662 | Medicaid | OR |
Other names 1
- RITE AID PHARMACY 06800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373328000000",
"number": "1245537430",
"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": "717-975-5937",
"fax_number": "717-975-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 QUINCE ORCHARD ROAD",
"address_2": "SUITE 150",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781787",
"telephone_number": "301-208-8958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID SPECIALTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-24",
"last_updated": "2013-07-09",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR MANAGER PROVIDER ENROLLMENT",
"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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "448720600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100236380",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201150910A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079170",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028009640001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021545",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245537430",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2135689",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500655662",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 06800",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.