Organization Active NPI

Rite-Aid Pharmacy

  • Pharmacist
  • Durham, NC
National Provider Identifier
1649402199
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
183514695X Issued in NC
Legal business name
RITE-AID PHARMACY
Practice address
200 N Lasalle St
Durham, NC 27705-3013
Phone
(919) 383-5591
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Ms. Bhavna S Patel, BSC
Title
Pharmacist
Phone
(919) 967-8167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 183514695X NC Primary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 14695 NC

Addresses

Primary practice location

200 N Lasalle St
Durham, NC 27705-3013

Mailing address

200 N Lasalle St
Durham, NC 27705-3013
Phone (919) 383-5591

Other identifiers 1

IdentifierTypeStateIssuer
0326256MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1649402199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053013",
            "telephone_number": "919-383-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053013",
            "telephone_number": "919-383-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE-AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "919-967-8167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "183514695X",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.