Rite Aid of Maine Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

880 Issued in ME

Legal business name

RITE AID OF MAINE INC

Practice address

365 Allen Avenue
Portland, ME 04103-3728

Phone

(207) 797-4351

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Amy Harvey

Title

Manager Insurance Setup

Phone

(717) 730-7781

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 04122 Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1386715472",
    "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": "365 ALLEN AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033728",
            "telephone_number": "207-797-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER INSURANCE SETUP",
        "authorized_official_telephone_number": "717-730-7781"
    },
    "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": "ME",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194890019",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2005595",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04122",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rise Holistic Healing, LLC
• Rise Recovery, LLC
• Hailee Nicole Ritcey
• Todd Clifford Ritch
• Rite Aid of Maine Inc
• Rite Aid of Maine Inc
• Rite Aid of Maine Inc
• Rite Aid Pharmacy
• Paul D Ritger, MD
• Marianne Ritterova, DPT

• Community/Retail Pharmacy in Portland, ME
• Providers in Portland, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.