Organization Active NPI

Rite Aid

  • Pharmacist
  • Montpelier, VT
National Provider Identifier
1790198406
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0099237 Issued in VT
Legal business name
RITE AID
Practice address
29 Main St
Montpelier, VT 05602-3174
Phone
(802) 223-4787
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Kristen M Poulin, PHARMD
Title
Pharmacist
Phone
(802) 752-6514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 033.0099237 VT Primary

Addresses

Primary practice location

29 Main St
Montpelier, VT 05602-3174

Mailing address

29 Main St
Montpelier, VT 05602-3174
Phone (802) 223-4787

Other identifiers 1

IdentifierTypeStateIssuer
033.0099237OtherVTVERMONT STATE PHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

29 Main St
Montpelier, VT 05602
Phone (802) 223-4787

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1790198406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023174",
            "telephone_number": "802-223-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023174",
            "telephone_number": "802-223-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "802-752-6514",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0099237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT STATE PHARMACY LICENSE",
            "identifier": "033.0099237",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.