Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1699170829
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
71804 Issued in CA
Legal business name
RITE AID PHARMACY
Practice address
6164 Bollinger Rd
San Jose, CA 95129-3068
Phone
(408) 253-5257
Fax
(408) 253-3704
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Si Yun Wang
Title
Pharmacist
Phone
(415) 812-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 71804 CA Primary

Addresses

Primary practice location

6164 Bollinger Rd
San Jose, CA 95129-3068

Mailing address

6164 Bollinger Rd
San Jose, CA 95129-3068
Phone (408) 253-5257

National Provider Directory

National Provider Directory

Locations

6164 Bollinger Rd
San Jose, CA 95129
Phone (408) 253-5257

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1699170829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293068",
            "telephone_number": "408-253-5257",
            "fax_number": "408-253-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293068",
            "telephone_number": "408-253-5257",
            "fax_number": "408-253-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SI YUN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "415-812-7094"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "71804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.