Active NPI
Rite Aid Pharmacy
- Pharmacist
- Ephrata, PA
National Provider Identifier
1568812105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100002282
- Legal business name
- RITE AID PHARMACY
- Practice address
- 177 Old Mill Rd
Apt 5
Ephrata, PA 17522-1990 - Phone
- (717) 666-5610
- NPI assigned
- Jun 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter S Mina
- Title
- Pharmacist
- Phone
- (717) 666-5610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100002282 | DC | Primary |
Addresses
Primary practice location
177 Old Mill Rd
Apt 5
Ephrata, PA 17522-1990
Mailing address
177 Old Mill Rd
Apt 5
Ephrata, PA 17522-1990
Phone (717) 666-5610
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1568812105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 OLD MILL RD",
"address_2": "APT 5",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221990",
"telephone_number": "717-666-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 OLD MILL RD",
"address_2": "APT 5",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221990",
"telephone_number": "717-666-5610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "MINA",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "717-666-5610"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.