NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Pomona, CA
National Provider Identifier
1316498215
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
74789 Issued in CA
Legal business name
RITE AID
Practice address
2059 S Garey Avenue
Pomona, CA 91765
Phone
(909) 613-1191
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Tapan Patel
Title
Pharmacist
Phone
(513) 442-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 74789 CA Primary

Addresses

Primary practice location

2059 S Garey Avenue
Pomona, CA 91765

Mailing address

2059 S Garey Avenue
Pomona, CA 91765
Phone (909) 613-1191

Other identifiers 1

IdentifierTypeStateIssuer
74789OtherCACALIFORNIA REGISTERD PHARMACIST

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid2 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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1316498215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 S GAREY AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-613-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 S GAREY AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-613-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TAPAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "513-442-8078"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "74789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA REGISTERD PHARMACIST",
            "identifier": "74789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.