Rite Aid of Pennsylvania LLC
Organization Active NPI Community/Retail Pharmacy · Munhall, PA
NPI 1689763344 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1689763344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP415261L (PA)
- Legal business name
- RITE AID OF PENNSYLVANIA LLC
- Practice address
- 600 William Marks Dr
Munhall, PA 15120-1997 - Phone
- (412) 461-4699
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Director Healthcare Revenue
- Phone
- (717) 975-5937
Practitioners 2
-
John G Yakim, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000800 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355384785 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
600 William Marks Dr
Munhall, PA 15120
Phone (412) 461-4699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP415261L | PA | Yes |
Addresses
Primary practice location
600 William Marks Dr
Munhall, PA 15120-1997
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007292981080 | Medicaid | PA | |
| 1007292981080 | Other | PA | MEDICAID DME |
| 3972696 | Other | OTHER ID NUMBER |
Other names
- RITE AID PHARMACY 04682
Other providers in Munhall, PA
- Pittsburgh Eye Associates, P.C.
- Preferred Primary Care Physicians, Inc.
- QLS Pittsburgh LLC
- Kari M Quinn
- Matthew Thomas Reinhart
- Abby E Samuels
- Sannehs Homecare LLC
- Sannehs Homecare LLC
- Kara Dianne Sauerwein
- Margaret M Savolskis
All providers in Munhall, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.