Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1497124135
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPH0014876 Issued in OR
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

Updated by the provider on Sep 23, 2015

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)CodeLicenseStatePrimary
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 Aid80 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.