Rite Aid Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

5302040276 Issued in MI

Legal business name

RITE AID CORP

Practice address

298 N Main St
Romeo, MI 48065

Phone

(586) 255-6221

NPI assigned

Jan 2, 2015

Last updated

Jan 2, 2015By 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

Dr. Daniel Lane, PHARM.D.

Title

Pharmacist

Phone

(989) 635-2031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1356739122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-255-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "989-635-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5302040276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Romeo, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.