Active NPI
Rite Aid of New York Inc
Doing business as Rite Aid Pharmacy 01910
- Community/Retail Pharmacy
- Buffalo, NY
National Provider Identifier
1740399062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 019490
- Legal business name
- RITE AID OF NEW YORK INC
- Doing business as
- Rite Aid Pharmacy 01910
- Practice address
- 2047 Sherida Drive
Buffalo, NY 14223-1201 - Phone
- (716) 873-7813
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 29, 2011
- 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
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 019490 | NY | Primary |
Addresses
Primary practice location
2047 Sherida Drive
Buffalo, NY 14223-1201
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3389740 | Other | OTHER ID NUMBER | |
| 01027201 | Medicaid | NY |
Other names 1
- RITE AID PHARMACY 01910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100820000438 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800920273 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1740399062",
"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": "2047 SHERIDA DRIVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142231201",
"telephone_number": "716-873-7813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID OF NEW YORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-12-29",
"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": "NY",
"license": "019490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3389740",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01027201",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 01910",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
- Rite Aid of New York Inc (Rite Aid Pharmacy 00499)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01869)
- Rite Aid of New York Inc (Rite Aid Pharmacy 00497)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01652)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01911)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01677)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01511)
- Rite Aid of New York Inc (Rite Aid Pharmacy 02448)
- Rite Aid of New York Inc (Rite Aid Pharmacy 01816)
- Rite Aid Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.