NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacy
  • Douglasville, GA
National Provider Identifier
1275948945
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
027466 Issued in GA
Legal business name
RITE AID PHARMACY
Practice address
3687 Highway 5
Douglasville, GA 30135-2385
Phone
(770) 577-8979
NPI assigned
Jun 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Authorized official

Name
Jessica Raven Northcutt, PHARMD
Title
Pharmacist
Phone
(615) 238-7279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 027466 GA Primary

Addresses

Primary practice location

3687 Highway 5
Douglasville, GA 30135-2385

Mailing address

950 W Peachtree St NW
Unit 1001
Atlanta, GA 30309-3846
Phone (615) 238-7279

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1275948945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W PEACHTREE ST NW",
            "address_2": "UNIT 1001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093846",
            "telephone_number": "615-238-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352385",
            "telephone_number": "770-577-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RAVEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "615-238-7279",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "027466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.