NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Saint Helens, OR
National Provider Identifier
1508309832
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0015740 Issued in OR
Legal business name
RITE AID
Practice address
785 S Columbia River Hwy
Saint Helens, OR 97051-2928
Phone
(503) 397-6787
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Jesse M Kalugendo, RPH
Title
Pharmacist
Phone
(615) 717-5132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0015740 OR Primary

Addresses

Primary practice location

785 S Columbia River Hwy
Saint Helens, OR 97051-2928

Mailing address

785 S Columbia River Hwy
Saint Helens, OR 97051-2928
Phone (503) 397-6787

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

785 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-6787

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1508309832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 S COLUMBIA RIVER HWY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512928",
            "telephone_number": "503-397-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 S COLUMBIA RIVER HWY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512928",
            "telephone_number": "503-397-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "KALUGENDO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "615-717-5132",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "0015740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.