Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Lavalette, WV
National Provider Identifier
1255707360
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RITE AID PHARMACY
Practice address
4749 Route 152
Lavalette, WV 25535-9638
Phone
(304) 525-3992
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Miss Sarah Whitney Johnson, RPH
Title
Pharmacist
Phone
(304) 638-6696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4749 Route 152
Lavalette, WV 25535-9638

Mailing address

4749 Route 152
Lavalette, WV 25535-9638
Phone (304) 525-3992

National Provider Directory

National Provider Directory

Locations

4749 Route 152
Lavalette, WV 25535
Phone (304) 525-3992

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1255707360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359638",
            "telephone_number": "304-525-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359638",
            "telephone_number": "304-525-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "304-638-6696",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavalette, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.