NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Woodside, NY
National Provider Identifier
1629447123
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061080 Issued in NY
Legal business name
RITE AID PHARMACY
Practice address
5015 Roosevelt Ave
Woodside, NY 11377-4458
Phone
(718) 426-7572
Fax
(718) 426-7805
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Nour Najeh Trabilsy, PHARMD
Title
Pharmacist
Phone
(718) 426-7572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 061080 NY Primary

Addresses

Primary practice location

5015 Roosevelt Ave
Woodside, NY 11377-4458

Mailing address

5015 Roosevelt Ave
Woodside, NY 11377-4458
Phone (718) 426-7572

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

5015 Roosevelt Ave
Woodside, NY 11377
Phone (718) 426-7572

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1629447123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774458",
            "telephone_number": "718-426-7572",
            "fax_number": "718-426-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774458",
            "telephone_number": "718-426-7572",
            "fax_number": "718-426-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "TRABILSY",
        "authorized_official_first_name": "NOUR",
        "authorized_official_middle_name": "NAJEH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-426-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.