Rite Aid of Pennsylvania LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410507L Issued in PA

Legal business name

RITE AID OF PENNSYLVANIA LLC

Doing business as

Rite Aid Pharmacy 04287

Practice address

360 East Main Street
Middletown, PA 17057-2232

Phone

(717) 944-0262

NPI assigned

Oct 12, 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 3

Other names 1

• RITE AID PHARMACY 04287 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Marie Burry, PHARM D.

  • Pharmacist
  • Middletown, PA
  • NPI 1962792465
  NPD (past)
• Jennalyn Marie Garrity, PHARMD

  • Pharmacist
  • Middletown, PA
  • NPI 1326522889
  NPD (past)
• David Bushra Ghaly

  • Pharmacist
  • Middletown, PA
  • NPI 1881412575
  NPD (past)
• Daniel Paul

  • Pharmacist
  • Middletown, PA
  • NPI 1215585674
  NPD (past)
• Meaghan Robb, PHARMD

  • Pharmacist
  • Middletown, PA
  • NPI 1245643550
  NPD (past)
• David Phillip Tomaszewski

  • Pharmacist
  • Newport, PA
  • NPI 1215603709
  NPD (past)
• Janette Mariette Vietze

  • Pharmacist
  • Middletown, PA
  • NPI 1326346511
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1780773424",
    "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": "360 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572232",
            "telephone_number": "717-944-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "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": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410507L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007292980549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1007292980549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3937185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04287",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RITE AID PHARMACY 04287",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Ann Ramberger, PTA
• John Renda, DC
• Andrea Rigby, PSY.D.
• Kelly Nicole Riggins, PT, DPT
• John C Rigilano, MD
• Meaghan Robb, PHARMD
• Javiera Noel Robinson
• Alexa S. Roma, M.S.
• Frinnet Esmaylin Ruiz Ramirez
• Corinne Ruppert, LPC

• Community/Retail Pharmacy in Middletown, PA
• Providers in Middletown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.