Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Lakewood, OH
National Provider Identifier
1437565249
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03233148-2 Issued in OH
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

Updated by the provider on Jul 1, 2014

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03233148-2OtherOHPHARMACY STATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.