Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1487812095
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45250 Issued in CA
Legal business name
RITE AID PHARMACY
Practice address
6164 Bollinger Rd
San Jose, CA 95129-3068
Phone
(408) 253-5257
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Engson Chang
Title
Pharmacist
Phone
(408) 255-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 45250 CA Primary

Addresses

Primary practice location

6164 Bollinger Rd
San Jose, CA 95129-3068

Mailing address

6244 Tracel Dr
San Jose, CA 95129-4761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1487812095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 TRACEL DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293068",
            "telephone_number": "408-253-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ENGSON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "408-255-9849"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.