NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Barstow, CA
National Provider Identifier
1780004804
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
70343 Issued in CA
Legal business name
RITE AID
Practice address
1380 Barstow Rd
Barstow, CA 92311-4944
Phone
(760) 252-3502
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Anh Le, PHARMD
Title
Pharmacist
Phone
(909) 702-0856

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 70343 CA
Community/Retail Pharmacy 3336C0003X 70343 CA Primary

Addresses

Primary practice location

1380 Barstow Rd
Barstow, CA 92311-4944

Mailing address

3102 Rocky LN
Ontario, CA 91761-5071
Phone (909) 702-0856

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Specialty Pharmacy LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

1380 Barstow Rd
Barstow, CA 92311
Phone (760) 252-3502

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1780004804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 ROCKY LN",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615071",
            "telephone_number": "909-702-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 BARSTOW RD",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923114944",
            "telephone_number": "760-252-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-702-0856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "70343",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "70343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.