Riteaid Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

10025 Issued in MD

Legal business name

RITEAID PHARMACY

Practice address

1633 Dulaney Dr
Jarrettsville, MD 21084-1514

Phone

(410) 692-7736

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Edward Thomas Castle, BS

Title

Pharmacist

Phone

(410) 467-7004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1457726705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 DULANEY DR",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841514",
            "telephone_number": "410-692-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 DULANEY DR",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841514",
            "telephone_number": "410-692-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-467-7004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "10025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Jarrettsville, MD
• Providers in Jarrettsville, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.