Active NPI
Genovese Drug Stores Inc
Doing business as Rite Aid Pharmacy 10389
- Community/Retail Pharmacy
- Ridgefield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1885
- Legal business name
- GENOVESE DRUG STORES INC
- Doing business as
- Rite Aid Pharmacy 10389
- Practice address
- 125 Danbury Road
Ridgefield, CT 06877-4139 - Phone
- (203) 438-7378
- NPI assigned
- Sep 22, 2006
- Last updated
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer M Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1885 | CT | Primary |
Addresses
Primary practice location
125 Danbury Road
Ridgefield, CT 06877-4139
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 10389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090430000001 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 5597832675 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brookfield, CT; Ridgefield, CT |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Rite Aid Pharmacy 10384
- Community/Retail Pharmacy
- Danbury, CT
- NPI 1174622492
O20090430000001
-
dba Rite Aid Pharmacy 10391
- Community/Retail Pharmacy
- Stamford, CT
- NPI 1538268859
O20090430000001
-
dba Rite Aid Pharmacy 10383
- Community/Retail Pharmacy
- Brookfield, CT
- NPI 1891883211
O20090430000001
National Provider Directory
National Provider DirectoryLocations
125 Danbury Rd
Ridgefield, CT 06877
Phone (203) 438-0340
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1356440671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWBERRY COMMONS",
"city": "ETTERS",
"state": "PA",
"postal_code": "173199363",
"telephone_number": "717-761-2633",
"fax_number": "717-975-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DANBURY ROAD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774139",
"telephone_number": "203-438-7378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENOVESE DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
"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": "CT",
"license": "1885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 10389",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.