Active NPI
Rite Aid Pharmacy
- Pharmacist
- Lakewood, OH
National Provider Identifier
1437565249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03233148-2
- Legal business name
- RITE AID PHARMACY
- Practice address
- 16207 Detroit Ave
Lakewood, OH 44107-3784 - Phone
- (216) 521-8826
- NPI assigned
- Jul 1, 2014
- 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
- Denise Ullman
- Title
- District Manager Assistant
- Phone
- (216) 321-1472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03233148-2 | OH | Primary |
Addresses
Primary practice location
16207 Detroit Ave
Lakewood, OH 44107-3784
Mailing address
16860 Walnut Creek Dr
Strongsville, OH 44149-5750
Phone (440) 610-2799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03233148-2 | Other | OH | PHARMACY STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
16207 Detroit Ave
Lakewood, OH 44107
Phone (216) 521-8826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1437565249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16860 WALNUT CREEK DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441495750",
"telephone_number": "440-610-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16207 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073784",
"telephone_number": "216-521-8826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "ULLMAN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "DISTRICT MANAGER ASSISTANT",
"authorized_official_telephone_number": "216-321-1472"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OH",
"license": "03233148-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "03233148-2",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.