Organization Active NPI

Riteaid Pharmacy

  • Pharmacist
  • MC Lean, VA
National Provider Identifier
1649599705
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207739 Issued in VA
Legal business name
RITEAID PHARMACY
Practice address
1312 Chain Bridge Rd
Store 3723
MC Lean, VA 22101-3966
Phone
(703) 356-5822
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mrs. Geetha Sarojini Gadiraju
Title
Pharmacist
Phone
(703) 356-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 0202207739 VA Primary

Addresses

Primary practice location

1312 Chain Bridge Rd
Store 3723
MC Lean, VA 22101-3966

Mailing address

1312 Chain Bridge Rd
Store 3723
MC Lean, VA 22101-3966
Phone (703) 356-5822

National Provider Directory

National Provider Directory

Locations

1312 Chain Bridge Rd
#3723
McLean, VA 22101
Phone (703) 356-5822

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1649599705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 CHAIN BRIDGE RD",
            "address_2": "STORE 3723",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013966",
            "telephone_number": "703-356-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CHAIN BRIDGE RD",
            "address_2": "STORE 3723",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013966",
            "telephone_number": "703-356-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GADIRAJU",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_middle_name": "SAROJINI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "703-356-8301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.