Active NPI
Rite Aid of Virginia Inc
Doing business as Rite Aid Pharmacy 07516
- Community/Retail Pharmacy
- Craigsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RITE AID OF VIRGINIA INC
- Doing business as
- Rite Aid Pharmacy 07516
- Practice address
- 125 Craig Street
Craigsville, VA 24430 - Phone
- (717) 761-2633
- NPI assigned
- Aug 17, 2022
- Last updated
- Aug 17, 2022
- 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
- Director
- 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
125 Craig Street
Craigsville, VA 24430
Mailing address
200 Newberry CMNS
Etters, PA 17319-9363
Phone (717) 975-5937
Other names 1
- Rite Aid Pharmacy 07516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000781 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244281293 |
This NPI is an additional NPI on the enrollment Practice locations: Norfolk, VA; Portsmouth, VA; Richmond, VA; Scottsville, VA; Suffolk, VA; Virginia Beach, VA; Hopewell, VA; Newport News, VA… |
National Provider Directory
National Provider DirectoryLocations
125 W Craig St
Craigsville, VA 24430
Phone (540) 889-2072
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1407574346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWBERRY CMNS",
"city": "ETTERS",
"state": "PA",
"postal_code": "173199363",
"telephone_number": "717-975-5937",
"fax_number": "717-975-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CRAIG STREET",
"city": "CRAIGSVILLE",
"state": "VA",
"postal_code": "24430",
"telephone_number": "717-761-2633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID OF VIRGINIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 07516",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Craigsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.