NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Albany, GA
National Provider Identifier
1326459280
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPH027662 Issued in GA
Legal business name
RITE AID PHARMACY
Practice address
2400 Sylvester Rd
Albany, GA 31705-2469
Phone
(229) 435-7168
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. Mekebebe Kebede, PHARMD
Title
Pharmacist
Phone
(404) 484-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RPH027662 GA Primary

Addresses

Primary practice location

2400 Sylvester Rd
Albany, GA 31705-2469

Mailing address

4240 Youngstown Cir
Stone Mountain, GA 30083-2494

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

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1326459280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 YOUNGSTOWN CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SYLVESTER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052469",
            "telephone_number": "229-435-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "KEBEDE",
        "authorized_official_first_name": "MEKEBEBE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-484-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "RPH027662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

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