NPIMap

Organization Active NPI

Riteaid

  • Pharmacist
  • Victorville, CA
National Provider Identifier
1801200316
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65594 Issued in CA
Legal business name
RITEAID
Practice address
14629 7TH St
Victorville, CA 92395-4019
Phone
(760) 245-6600
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Kristy Hermosilla
Title
Pharmacist
Phone
(760) 245-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 65594 CA Primary

Addresses

Primary practice location

14629 7TH St
Victorville, CA 92395-4019

Mailing address

14629 7TH St
Victorville, CA 92395-4019
Phone (760) 245-6600

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

14629 Seventh St
Victorville, CA 92395
Phone (760) 245-6600

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1801200316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954019",
            "telephone_number": "760-245-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954019",
            "telephone_number": "760-245-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "760-245-6600"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.