Rite Aid Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH18724 Issued in MA

Legal business name

RITE AID PHARMACY

Practice address

4 Washington St
Canton, MA 02021-4004

Phone

(617) 529-1904

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Horn

Title

RPH

Phone

(617) 529-1904

Specialties & licenses 1

Addresses

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": "1831503382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214004",
            "telephone_number": "617-529-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "617-529-1904"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "PH18724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rite Aid #10137
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• Caitlin Reid Roache, PH.D.
• Robert L. D'Agostino, MD PC
• Nicholas Rockoff, DMD
• Alicia Rodio, LICSW

• Community/Retail Pharmacy in Canton, MA
• Providers in Canton, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• 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.