Rite Aid of Pennsylvania LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413998L Issued in PA

Legal business name

RITE AID OF PENNSYLVANIA LLC

Doing business as

Rite Aid Pharmacy 03620

Practice address

1550 Columbia Avenue
Lancaster, PA 17603-4527

Phone

(717) 394-2580

NPI assigned

Oct 13, 2006

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 03620 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Jordan William Eckman

  • Pharmacist
  • Lancaster, PA
  • NPI 1780255885
  NPD (past)
• Uyen Ngo

  • Pharmacist
  • Lancaster, PA
  • NPI 1245546969
  NPD (past)
• Rachel Pearlman

  • Pharmacist
  • Lancaster, PA
  • NPI 1083340731
  NPD (past)
• Kristopher Platon

  • Pharmacy Technician
  • Lancaster, PA
  • NPI 1770283491
  NPD (past)
• Gurdip Singh Sidhu, PHARMD

  • Pharmacist
  • Lancaster, PA
  • NPI 1386117984
  NPD (past)
• Brittany Steiner, PHARMD

  • Pharmacist
  • Lancaster, PA
  • NPI 1508474115
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1699865717",
    "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": "173199363",
            "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": "1550 COLUMBIA AVENUE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034527",
            "telephone_number": "717-394-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "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": "PA",
            "license": "PP413998L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007292980624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1007292980624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3954838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 03620",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RITE AID PHARMACY 03620",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riseabove Wellness and Care LLC
• Andrew Michael Risley, DMD
• Allison E Risser, LMT
• Sharon L Risser, PT
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 04684)
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00729)
• Aracelis Rittenburg, BSN RN
• Brittany A Ritter, PHARM D.
• Stacey Rivenburg, PSYD
• River Rock Counseling, LLC

• Community/Retail Pharmacy in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.