Organization Active NPI

Rite Aid

  • Pharmacist
  • Hines, OR
National Provider Identifier
1245605773
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0015069 Issued in OR
Legal business name
RITE AID
Practice address
629 Highway 20 N
Hines, OR 97738-9435
Phone
(541) 573-1523
Fax
(541) 573-1502
NPI assigned
Dec 9, 2015
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Rory Lambert, PHARMD
Title
Pharmacy District Manager
Phone
(208) 343-4317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0015069 OR Primary
Pharmacist 183500000X P7322 ID

Addresses

Primary practice location

629 Highway 20 N
Hines, OR 97738-9435

Mailing address

629 Highway 20 N
Hines, OR 97738-9435
Phone (541) 573-1523

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid 634419 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1245605773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 HIGHWAY 20 N",
            "city": "HINES",
            "state": "OR",
            "postal_code": "977389435",
            "telephone_number": "541-573-1523",
            "fax_number": "541-573-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 HIGHWAY 20 N",
            "city": "HINES",
            "state": "OR",
            "postal_code": "977389435",
            "telephone_number": "541-573-1523",
            "fax_number": "541-573-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "208-343-4317",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0015069",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.