Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302041092 Issued in MI

Legal business name

RITE AID

Practice address

1998 Biddle Ave
Wyandotte, MI 48192-3907

Phone

(734) 285-4100

NPI assigned

Nov 26, 2015

Last updated

Nov 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Graham

Title

Pharmacy District Manager

Phone

(419) 756-2819

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448496000000",
    "number": "1558735761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923907",
            "telephone_number": "734-285-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923907",
            "telephone_number": "734-285-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-26",
        "last_updated": "2015-11-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "419-756-2819"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mark Reynolds, DO
• Mario J Rico Jr., CRNA
• Naveen Kaur Rihal, DO
• Destinine Kimberly-Elaine Riley
• Rita Lambrix LMSW LLC
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04545)
• Amelia Rivas, M.S., L.L.P.
• Riverview Hospice Care Inc
• Robert Pensler M D
• Lynda Lee Roberts

• Pharmacist in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.