Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Ephrata, PA
National Provider Identifier
1568812105
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100002282 Issued in DC
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

Updated by the provider on Jun 14, 2016

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.