Active NPI
Rite Aid
- Clinic/Center
- Beaverton, OR
National Provider Identifier
1750717054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- RPH 0013774
- Legal business name
- RITE AID
- Practice address
- 12575 SW Walker Rd
Beaverton, OR 97005-1306 - Phone
- (503) 646-2423
- NPI assigned
- Sep 18, 2013
- Last updated
- Sep 18, 2013
- 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
- Mrs. Cari Corbet-Owen
- Title
- District Manager
- Phone
- (707) 246-0346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | RPH 0013774 | OR | Primary |
Addresses
Primary practice location
12575 SW Walker Rd
Beaverton, OR 97005-1306
Mailing address
2390 SW Vermont St
Apt 39
Portland, OR 97219-1977
Phone (971) 221-3934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379462400000",
"number": "1750717054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 SW VERMONT ST",
"address_2": "APT 39",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191977",
"telephone_number": "971-221-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12575 SW WALKER RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051306",
"telephone_number": "503-646-2423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A",
"authorized_official_last_name": "CORBET-OWEN",
"authorized_official_first_name": "CARI",
"authorized_official_title_or_position": "DISTRICT MANAGER",
"authorized_official_telephone_number": "707-246-0346",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OR",
"license": "RPH 0013774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.