Rite Aid of Ohio Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021144200 Issued in OH

Legal business name

RITE AID OF OHIO INC

Doing business as

Rite Aid Pharmacy 03016

Practice address

2840 Youngstown Rd SE
Warren, OH 44484-5063

Phone

(330) 369-8444

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer M Zorek

Title

Sr Manager Third Party Enrollment

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 03016 Doing business as

Locations

Practitioners 5

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

• Diane Chachko, PHARM.D.

  • Pharmacist
  • Warren, OH
  • NPI 1316347669
  NPD (past)
• Michael Chachko

  • Pharmacist
  • Warren, OH
  • NPI 1144993403
  NPD (past)
• Jon Christopher Fields

  • Pharmacist
  • Warren, OH
  • NPI 1750662250
  NPD (past)
• Kelley Gallagher, PHARM.D.

  • Pharmacist
  • Warren, OH
  • NPI 1609148881
  NPD (past)
• David Robert Motz, PHARM D.

  • Pharmacist
  • Warren, OH
  • NPI 1578853693
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1831200096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY CMNS",
            "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": "2840 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845063",
            "telephone_number": "330-369-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR MANAGER THIRD PARTY ENROLLMENT",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021144200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133560",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "2133560",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3667106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 03016",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Edward Rishel, A.T.,C.
• Rite Aid Corporation
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 03062)
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 04605)
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 03109)
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 00713)
• Bridget Marie Ritter
• Adrien D Rivers
• Maria Rizer, APRN
• Dayana Roberson, B.A.

• Community/Retail Pharmacy in Warren, OH
• Providers in Warren, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.