Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Petersburg, VA
National Provider Identifier
1275822744
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011049 Issued in VA
Legal business name
RITE AID PHARMACY
Practice address
2141 S Crater Rd
Petersburg, VA 23805-2701
Phone
(804) 733-3471
Fax
(804) 733-3984
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mrs. Felicia Sherry Bracey, R.PH
Title
Pharmacy Manager
Phone
(804) 733-3471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 0202011049 VA Primary

Addresses

Primary practice location

2141 S Crater Rd
Petersburg, VA 23805-2701

Mailing address

2141 S Crater Rd
Petersburg, VA 23805-2701
Phone (804) 733-3471

National Provider Directory

National Provider Directory

Locations

2141 S Crater Rd
Petersburg, VA 23805
Phone (804) 733-3471

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1275822744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052701",
            "telephone_number": "804-733-3471",
            "fax_number": "804-733-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052701",
            "telephone_number": "804-733-3471",
            "fax_number": "804-733-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BRACEY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "804-733-3471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.