Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60477558 Issued in WA

Legal business name

RITE AID

Practice address

11700 Mukilteo Speedway Ste 500
Mukilteo, WA 98275-5435

Phone

(425) 514-0620

NPI assigned

Oct 1, 2014

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelson Record

Title

Record Field Clinical Manager

Phone

(509) 412-4575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1467855759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 10TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 500",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755435",
            "telephone_number": "425-514-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "KELSON",
        "authorized_official_title_or_position": "RECORD FIELD CLINICAL MANAGER",
        "authorized_official_telephone_number": "509-412-4575"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60477558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Pharmacist in Washington

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