NPIMap

Organization Active NPI

Riteaid Pharmacy

  • Pharmacist
  • Sudbury, MA
National Provider Identifier
1437566825
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH27289 Issued in MA
Legal business name
RITEAID PHARMACY
Practice address
423 Boston Post Rd
Sudbury, MA 01776
Phone
(978) 443-0410
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mrs. Tracy Nguyen, PHARM. D
Title
Staff Pharmacist
Phone
(774) 239-9153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45977 TX
Pharmacist 183500000X PH27289 MA Primary

Addresses

Primary practice location

423 Boston Post Rd
Sudbury, MA 01776

Mailing address

423 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-0410

National Provider Directory

National Provider Directory
Tax ID family
Indian Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1437566825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "774-239-9153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45977",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH27289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.