Active NPI
Rite Aid Pharmacy
- Community/Retail Pharmacy
- San Jose, CA
National Provider Identifier
1699170829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 71804
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.