Active NPI
Rite Aid Pharmacy
- Community/Retail Pharmacy
- Portland, OR
National Provider Identifier
1497124135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RPH0014876
- Legal business name
- RITE AID PHARMACY
- Practice address
- 7440 N Denver Ave
Portland, OR 97217-5630 - Phone
- (503) 286-5680
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anand Gowda
- Title
- Pharmacy District Manager
- Phone
- (425) 247-4108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RPH0014876 | OR | Primary |
Addresses
Primary practice location
7440 N Denver Ave
Portland, OR 97217-5630
Mailing address
20718 SW Sister LN
Beaverton, OR 97003-8155
National Provider Directory
National Provider Directory- Tax ID family
- Rite Aid
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1497124135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20718 SW SISTER LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970038155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175630",
"telephone_number": "503-286-5680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "GOWDA",
"authorized_official_first_name": "ANAND",
"authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
"authorized_official_telephone_number": "425-247-4108"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RPH0014876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.