Active NPI
Rite Aid
- Community/Retail Pharmacy
- Buford, GA
National Provider Identifier
1376956607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 027304
- Legal business name
- RITE AID
- Practice address
- 3330 Hamilton Mill Rd
Buford, GA 30519-4005 - Phone
- (770) 904-7188
- NPI assigned
- Jun 4, 2014
- 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
- Amanda Lee Shelly
- Title
- Pharmacist
- Phone
- (317) 289-0729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 027304 | GA | Primary |
Addresses
Primary practice location
3330 Hamilton Mill Rd
Buford, GA 30519-4005
Mailing address
1208 John Adams Dr
Lawrenceville, GA 30043-6616
National Provider Directory
National Provider DirectoryLocations
3330 Hamilton Mill Rd
Buford, GA 30519
Phone (770) 904-7188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1376956607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 JOHN ADAMS DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 HAMILTON MILL RD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305194005",
"telephone_number": "770-904-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "SHELLY",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "317-289-0729"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "027304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.