Organization Active NPI

Rite Aid

  • Pharmacist
  • McKeesport, PA
National Provider Identifier
1336514678
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP449784 Issued in PA
Legal business name
RITE AID
Practice address
725 Lysle Blvd
McKeesport, PA 15132-2515
Phone
(412) 672-3853
Fax
(412) 672-5582
NPI assigned
Dec 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Authorized official

Name
Katlyn Marie Bonner
Title
Pharmacist
Phone
(412) 872-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RP449784 PA Primary

Addresses

Primary practice location

725 Lysle Blvd
McKeesport, PA 15132-2515

Mailing address

725 Lysle Blvd
McKeesport, PA 15132-2515
Phone (412) 672-3853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449878400000",
    "number": "1336514678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LYSLE BLVD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322515",
            "telephone_number": "412-672-3853",
            "fax_number": "412-672-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LYSLE BLVD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322515",
            "telephone_number": "412-672-3853",
            "fax_number": "412-672-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "412-872-5713"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.