Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

66818 Issued in CA

Legal business name

RITE AID

Practice address

4300 Elverta Rd
Antelope, CA 95843-6700

Phone

(916) 729-6763

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Amanda Watkins, PHARM D

Title

Pharmacy Manager

Phone

(978) 790-8347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1700299518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ELVERTA RD",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958436700",
            "telephone_number": "916-729-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ELVERTA RD",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958436700",
            "telephone_number": "916-729-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "978-790-8347",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "66818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajinder Singh Randhawa, M.D.
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• Gina Kim Riedl, LPT
• Deron David Rodriguez, MS, CCC-SLP
• Kelly D Rodriguez
• Tracey Rowe
• Mina L. Rucker, MFTI
• RZ Enterprise, LLC

• Pharmacist in Antelope, CA
• Providers in Antelope, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.