Rite Aid Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RPH05701 Issued in RI

Legal business name

RITE AID PHARMACY

Practice address

711 Broad St
Providence, RI 02907-1481

Phone

(401) 331-9550

Fax

(401) 272-7634

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Collette Chinwe Onyejekwe, PHARMD, RPH

Title

Pharmacist

Phone

(401) 999-0630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1598299174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071481",
            "telephone_number": "401-331-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071481",
            "telephone_number": "401-331-9550",
            "fax_number": "401-272-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "ONYEJEKWE",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_middle_name": "CHINWE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "401-999-0630",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "RPH05701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Providence, RI
• Providers in Providence, RI by specialty
• Community/Retail Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.