Rite Aid Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

53136 Issued in CA

Legal business name

RITE AID PHARMACY

Practice address

10120 Mason Ave
Chatsworth, CA 91311-3301

Phone

(818) 349-0418

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Ida Kim

Title

Pharmacist

Phone

(818) 349-0418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1609162106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 MASON AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113301",
            "telephone_number": "818-349-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 MASON AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113301",
            "telephone_number": "818-349-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-349-0418"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "53136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.