Active NPI
Rite Aid of Pennsylvania LLC
Doing business as Rite Aid Pharmacy 06733
- Community/Retail Pharmacy
- Bethel Park, PA
National Provider Identifier
1396236733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RITE AID OF PENNSYLVANIA LLC
- Doing business as
- Rite Aid Pharmacy 06733
- Practice address
- 503 Clifton Rd
Bethel Park, PA 15102-1341 - Phone
- (717) 975-5937
- NPI assigned
- May 22, 2018
- Last updated
- Sep 15, 2020
- 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
- Sr Manager
- 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 | Primary |
Addresses
Primary practice location
503 Clifton Rd
Bethel Park, PA 15102-1341
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007292981184 | Medicaid | PA |
Other names 1
- Rite Aid Pharmacy 06733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000800 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355384785 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600128000000",
"number": "1396236733",
"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": "503 CLIFTON RD",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021341",
"telephone_number": "717-975-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID OF PENNSYLVANIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR MANAGER",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007292981184",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 06733",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rite Aid Pharmacy 06733",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.