Rite Aid of Connecticut Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RITE AID OF CONNECTICUT INC

Doing business as

Rite Aid Pharmacy 06708

Practice address

249 Legion Avenue
New Haven, CT 06511-1234

Phone

(203) 492-0090

NPI assigned

Nov 10, 2015

Last updated

Jun 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Sr Manager Provider Enrollment

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rite Aid Pharmacy 06708 Doing business as

Locations

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Syed Ahamed, RPH

  • Pharmacist
  • Waterbury, CT
  • NPI 1821383498
  NPD (past)
• Lucy O Ajila, PHARMD

  • Pharmacist
  • Naugatuck, CT
  • NPI 1851030175
  NPD (past)
• Shannielle Antonelli

  • Pharmacist
  • East Haven, CT
  • NPI 1740579952
  NPD (past)
• Matthew Basile, PHARM. D, R.PH

  • Pharmacist
  • Wallingford, CT
  • NPI 1851744296
  NPD (past)
• Roger Beaudoin, PHARMD

  • Pharmacist
  • Cheshire, CT
  • NPI 1851743959
  NPD (past)
• Karen L Brown

  • Student in an Organized Health Care Education/Training Program
  • Wolcott, CT
  • NPI 1780300889
  NPD (past)
• Jeffrey Matthew Burgess, PHARM D

  • Pharmacist
  • Waterbury, CT
  • NPI 1598063000
  NPD (past)
• Christopher Candela

  • Pharmacist
  • Naugatuck, CT
  • NPI 1568110609
  NPD (past)
• Jillian Rachel Cappella, PHARMD

  • Pharmacist
  • Naugatuck, CT
  • NPI 1215341813
  NPD (past)
• Melinda S. Carter, RPH

  • Pharmacist
  • Wolcott, CT
  • NPI 1790495992
  NPD (past)
• David Alan Chuckta, RPH

  • Pharmacist
  • Ansonia, CT
  • NPI 1437442563
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1326411570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY CMNS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-975-5937",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 LEGION AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111234",
            "telephone_number": "203-492-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF CONNECTICUT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR MANAGER PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0723949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008063888",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rite Aid Pharmacy 06708",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Ripke
• Rise Above Wellness LLC
• Joshua Peder Rising, M.D.
• Adam Michael Riso, PA
• Alexa Risser, PHARMD
• Rite Aid of Connecticut Inc (Rite Aid Pharmacy 01882)
• Rite Aid of Connecticut Inc (Rite Aid Pharmacy 00441)
• Jenny Kim Rival, MD
• Evan Jordan Riveccio, SW CLINICAL
• Paola Alejandra Rivera Morales, B.SC

• Community/Retail Pharmacy in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.