NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Stockton, CA
National Provider Identifier
1407396344
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
76308 Issued in CA
Legal business name
RITE AID
Practice address
1050 N Wilson Way
Stockton, CA 95205-4218
Phone
(209) 948-0950
NPI assigned
Feb 25, 2017
Last updated
Feb 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Authorized official

Name
Darshan Udani, PHARM D
Title
Pharmacist
Phone
(209) 948-0590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 76308 CA Primary

Addresses

Primary practice location

1050 N Wilson Way
Stockton, CA 95205-4218

Mailing address

1050 N Wilson Way
Stockton, CA 95205-4218

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

Locations

1050 N Wilson Way
Stockton, CA 95205
Phone (209) 948-0560

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1407396344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N WILSON WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N WILSON WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054218",
            "telephone_number": "209-948-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "UDANI",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "209-948-0590",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "76308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.