Rite Aid of Maine Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

846 Issued in ME

Legal business name

RITE AID OF MAINE INC

Doing business as

RITE AID PHARMACY 04148

Practice address

34 Cottage Street
Bar Harbor, ME 04609-1810

Phone

(207) 288-2222

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 04148 Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1770654543",
    "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": "34 COTTAGE STREET",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091810",
            "telephone_number": "207-288-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-08-30",
        "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": "ME",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2005850",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194890011",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04148",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole RG Randall, LCSW CADC
• Caitlin C Ratten
• Kathryn Ray, RN
• Mathilde Ac Reznik, D.M.D.
• Oleg I Reznik, MD
• Kelly Lynne Robertson, M.S., OTR/L
• Linda J Robinson, CNM
• Blake Joseph Rosso, DC
• Silvio Saidemberg, M.D.
• Alexander Schin, MD

• Community/Retail Pharmacy in Bar Harbor, ME
• Providers in Bar Harbor, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.