NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Towanda, PA
National Provider Identifier
1750795050
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446431 Issued in PA
Legal business name
RITE AID PHARMACY
Practice address
148 Ennis LN
Towanda, PA 18848-9198
Phone
(570) 265-4769
Fax
(570) 265-8012
NPI assigned
Jun 13, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Gary Snedeker, RPH.
Title
Pharmacy District Manager
Phone
(570) 394-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446431 PA Primary

Addresses

Primary practice location

148 Ennis LN
Towanda, PA 18848-9198

Mailing address

148 Ennis LN
Towanda, PA 18848-9198
Phone (570) 265-4769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1750795050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ENNIS LN",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489198",
            "telephone_number": "570-265-4769",
            "fax_number": "570-265-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 ENNIS LN",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489198",
            "telephone_number": "570-265-4769",
            "fax_number": "570-265-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "SNEDEKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "570-394-3051",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.