NPIMap

Organization Active NPI

Riteaid Pharmacy

  • Pharmacist
  • Trumbull, CT
National Provider Identifier
1376957738
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0008672 Issued in CT
Legal business name
RITEAID PHARMACY
Practice address
50 Woodlawn Dr
Trumbull, CT 06611-3814
Phone
(203) 258-7046
NPI assigned
Jun 13, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Larry Benidati
Title
Pharmacist Supervisor
Phone
(203) 259-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0008672 CT Primary

Addresses

Primary practice location

50 Woodlawn Dr
Trumbull, CT 06611-3814

Mailing address

50 Woodlawn Dr
Trumbull, CT 06611-3814
Phone (203) 258-7046

National Provider Directory

National Provider Directory
Tax ID family
LTC Solutions119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

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.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1376957738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WOODLAWN DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113814",
            "telephone_number": "203-258-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WOODLAWN DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113814",
            "telephone_number": "203-258-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BENIDATI",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST SUPERVISOR",
        "authorized_official_telephone_number": "203-259-2353"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0008672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.