NPIMap

Organization Active NPI

Riteaid Pharmacy

  • Pharmacy
  • Mahanoy City, PA
National Provider Identifier
1528433174
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP025668L Issued in PA
Legal business name
RITEAID PHARMACY
Practice address
15 W Centre St
Mahanoy City, PA 17948-2603
Phone
(570) 590-8879
NPI assigned
Dec 8, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Ms. Mandy Hoysan, PHARM.D
Title
District Manager
Phone
(570) 825-9481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP025668L PA Primary

Addresses

Primary practice location

15 W Centre St
Mahanoy City, PA 17948-2603

Mailing address

15 W Centre St
Mahanoy City, PA 17948-2603
Phone (570) 590-8879

National Provider Directory

National Provider Directory
Tax ID family
Gregory Lee Smith44 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

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1528433174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482603",
            "telephone_number": "570-590-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482603",
            "telephone_number": "570-590-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "HOYSAN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "570-825-9481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "RP025668L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahanoy City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.