Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

7960198-1701 Issued in UT

Legal business name

RITE AID

Practice address

220 S 700 E
Salt Lake City, UT 84102-2106

Phone

(801) 521-4140

NPI assigned

Jun 22, 2014

Organization subpart

No

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

Authorized official

Name

Nathan Wilson, PHARMD.

Title

Pharmacist

Phone

(801) 521-4140

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1403395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403395200000",
    "number": "1659786341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 E LOGAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082631",
            "telephone_number": "301-707-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022106",
            "telephone_number": "801-521-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-22",
        "last_updated": "2014-06-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "801-521-4140",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7960198-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2014; 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.