NPIMap

Organization Active NPI

Rite Aid

  • Pharmacist
  • San Mateo, CA
National Provider Identifier
1316346331
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42516 Issued in CA
Legal business name
RITE AID
Practice address
666 Concar Dr
San Mateo, CA 94402-2622
Phone
(650) 573-8551
Fax
(650) 573-1374
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Amy Andrews, RPH
Title
Pharmacy Manager
Phone
(650) 573-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 42516 CA Primary

Addresses

Primary practice location

666 Concar Dr
San Mateo, CA 94402-2622

Mailing address

666 Concar Dr
San Mateo, CA 94402-2622
Phone (650) 573-8551

National Provider Directory

National Provider Directory
Tax ID family
Payless Drug Store 28935 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

666 Concar Dr
San Mateo, CA 94402
Phone (650) 573-8551

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1316346331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022622",
            "telephone_number": "650-573-8551",
            "fax_number": "650-573-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022622",
            "telephone_number": "650-573-8551",
            "fax_number": "650-573-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "650-573-8551",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.