NPIMap

Organization Active NPI

Riteaid

  • Pharmacist
  • Scranton, PA
National Provider Identifier
1679938641
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP449936 Issued in PA
Legal business name
RITEAID
Practice address
609 Luzerne St
Scranton, PA 18504-2626
Phone
(570) 344-4404
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Kamil Rudzinski
Title
Pharmacist
Phone
(610) 759-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X RP449936 PA Primary

Addresses

Primary practice location

609 Luzerne St
Scranton, PA 18504-2626

Mailing address

609 Luzerne St
Scranton, PA 18504-2626
Phone (570) 344-4404

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1679938641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LUZERNE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042626",
            "telephone_number": "570-344-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LUZERNE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042626",
            "telephone_number": "570-344-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "RUDZINSKI",
        "authorized_official_first_name": "KAMIL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "610-759-4876",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.