Active NPI
Rite-Aid Pharmacy
- Pharmacist
- Durham, NC
National Provider Identifier
1649402199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 183514695X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 183514695X | NC | Primary |
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326256 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.