Maxi Drug South LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAXI DRUG SOUTH LP

Doing business as

Rite Aid Pharmacy 06595

Practice address

1011 Cranston Street
Cranston, RI 02920-7533

Phone

(401) 275-0849

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer M Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 06595 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Maxi Drug South LP

  dba Rite Aid Pharmacy 10226

  • Community/Retail Pharmacy
  • North Scituate, RI
  • NPI 1659470920

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1679716302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "17319",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CRANSTON STREET",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207533",
            "telephone_number": "401-275-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI DRUG SOUTH LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "4529220",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4107187",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD76002",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 06595",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxi Drug South LP (Rite Aid Pharmacy 10262)
• Maxi Drug South LP (Rite Aid Pharmacy 10250)
• Maxi Drug South LP (Rite Aid Pharmacy 10254)
• Maxi Drug South LP (Rite Aid Pharmacy 10263)
• Maxi Drug South LP (Rite Aid Pharmacy 10261)
• Julie Maxwell, MSOT
• Catherine Margaret May, MSN
• Jeremy May, MASTERS, LMFT
• Gloria Mary Mazza, NP-C
• Matthew R McAllister, C.PED

• Community/Retail Pharmacy in Cranston, RI
• Providers in Cranston, RI by specialty
• Community/Retail Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.