Organization Active NPI

Rite Aid Pharmacy

  • Point of Service
  • New York, NY
National Provider Identifier
1740459197
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
022581 Issued in NY
Legal business name
RITE AID PHARMACY
Practice address
56 7TH Ave
New York, NY 10011-6672
Phone
(212) 675-1697
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Kate C So, B.S.
Title
Supervising Pharmacist
Phone
(212) 675-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 022581 NY Primary

Addresses

Primary practice location

56 7TH Ave
New York, NY 10011-6672

Mailing address

56 7TH Ave
New York, NY 10011-6672
Phone (212) 675-1697

Other identifiers 1

IdentifierTypeStateIssuer
01580634MedicaidNY

National Provider Directory

National Provider Directory

Locations

56 7th Ave
New York, NY 10011
Phone (212) 255-6100

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1740459197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116672",
            "telephone_number": "212-675-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116672",
            "telephone_number": "212-675-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-675-1697",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "022581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01580634",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.