Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Theodore, AL
National Provider Identifier
1326404302
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19033 Issued in AL
Legal business name
RITE AID
Practice address
7301 Theodore Dawes Rd
Theodore, AL 36582-4029
Phone
(251) 653-9831
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Abbey JungclausNPI 1417308107
Title
Pharmacist
Phone
(812) 569-0832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19033 AL Primary

Addresses

Primary practice location

7301 Theodore Dawes Rd
Theodore, AL 36582-4029

Mailing address

8917 N Davis Hwy Apt 70
Pensacola, FL 32514-5328

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Specialty Pharmacy LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1326404302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 N DAVIS HWY APT 70",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 THEODORE DAWES RD",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365824029",
            "telephone_number": "251-653-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JUNGCLAUS",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "812-569-0832"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "19033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Theodore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.