NPIMap

Organization Active NPI

Rite Aid

  • Pharmacist
  • Troy, MI
National Provider Identifier
1538572771
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302410541 Issued in MI
Legal business name
RITE AID
Practice address
3986 John R Rd
Troy, MI 48083-5688
Phone
(248) 524-6480
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
James Azzam
Title
Pharmacist
Phone
(586) 929-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302410541 MI Primary

Addresses

Primary practice location

3986 John R Rd
Troy, MI 48083-5688

Mailing address

3986 John R Rd
Troy, MI 48083-5688

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

Locations

3986 John R Rd
Troy, MI 48083
Phone (248) 524-6480

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1538572771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835688",
            "telephone_number": "248-524-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "586-929-3835"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302410541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.