Rite Aid Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0012506 Issued in OR

Legal business name

RITE AID PHARMACY

Practice address

2521 S 6TH St
Klamath Falls, OR 97601-4343

Phone

(541) 883-2210

NPI assigned

Jan 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Graham, PHARMD

Title

Pharmacist

Phone

(352) 256-3039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295136000000",
    "number": "1841595287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014343",
            "telephone_number": "541-883-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014343",
            "telephone_number": "541-883-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "352-256-3039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0012506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaron James Riddle
• Alysa Rider
• Ryan E Rinard
• Clytie June Ring, CDCIII,CADCII,NACAI
• Desiree Rinker
• Katelyn Michelle Ritter
• Marissa Ann Ritzenthaler, RN
• Alex Rivera
• Victoria Lue Irene Rivera
• Teresa Lynn Riverarosario

• Pharmacist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; 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.