Organization Active NPI

Rite Aid

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1750717054
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RPH 0013774 Issued in OR
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.