Rite Aid

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

42442 Issued in CA

Legal business name

RITE AID

Practice address

1208 W Redondo Beach Blvd
Gardena, CA 90247-3411

Phone

(310) 323-4768

Fax

(310) 323-4693

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Michelle Tenerelli

Title

Territory MGR

Phone

(916) 631-7591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1538487699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473411",
            "telephone_number": "310-323-4768",
            "fax_number": "310-323-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473411",
            "telephone_number": "310-323-4768",
            "fax_number": "310-323-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "TENERELLI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "TERRITORY MGR",
        "authorized_official_telephone_number": "916-631-7591"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "42442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Seberiano Rios
• Melissa Rios
• Wilfredo Rios
• Alice Rising
• Carrie Ritchie
• Jordan Rivard
• Stefanie S Rivas-Akinsiku
• Cassandra Rivas
• Erica Suyin Rivas
• Karla Arlene Rivas

• Community/Retail Pharmacy in Gardena, CA
• Providers in Gardena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.