Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Auburn, CA
National Provider Identifier
1649590613
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA426660 Issued in CA
Legal business name
RITE AID PHARMACY
Practice address
2805 Bell Rd
Auburn, CA 95603-2539
Phone
(530) 823-8125
Fax
(530) 823-8179
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Jugraj Singh Johl, PHARM DNPI 1477873461
Title
Pharmacy Manager
Phone
(530) 823-8125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHA426660 CA Primary

Addresses

Primary practice location

2805 Bell Rd
Auburn, CA 95603-2539

Mailing address

963 Southbridge Cir
Lincoln, CA 95648-8040
Phone (530) 823-8125

Other identifiers 1

IdentifierTypeStateIssuer
42055OtherCARPH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1649590613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 SOUTHBRIDGE CIR",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488040",
            "telephone_number": "530-823-8125",
            "fax_number": "530-823-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 BELL RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032539",
            "telephone_number": "530-823-8125",
            "fax_number": "530-823-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "JOHL",
        "authorized_official_first_name": "JUGRAJ",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "530-823-8125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA426660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "42055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.