Rite Aid of Delaware Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

A30000659 Issued in DE

Legal business name

RITE AID OF DELAWARE INC

Practice address

38169 Dupont Boulevard
Selbyville, DE 19975-3033

Phone

(302) 436-9226

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• RITE AID PHARMACY 04910 Doing business as

Locations

Practitioners 2

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

• Douglas Lee Fraser, PHARMACIST

  • Pharmacist
  • Rehoboth Beach, DE
  • NPI 1942508536
  NPD (past)
• Zahir Kasmani

  • Pharmacist
  • Dover, DE
  • NPI 1598062531
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1265541544",
    "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": "38169 DUPONT BOULEVARD",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753033",
            "telephone_number": "302-436-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF DELAWARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "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": "DE",
            "license": "A30000659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0803608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000910807",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064601600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0001034416",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04910",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Delaware Medical PA
• Kimberly Corbett Prince, OTR/L
• Regenerative Health Solutions, LLC
• Ellen Rowe Rhodes, MD
• Nicholas Scott Rhoten, DPT
• Catherine J Roche, LMFT
• Heather Rose, COTA/L
• Mallori Roy, RN, BSN
• Michael Anthony Sabol, DPT
• Kerri Lenker Saldutti, PT, DPT

• All providers in Selbyville, DE
• Community/Retail Pharmacy in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.