NPIMap

Organization Active NPI

Riteaid Pharmacy

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1851776017
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438658 Issued in PA
Legal business name
RITEAID PHARMACY
Practice address
7700 Crittenden St
Philadelphia, PA 19118-4421
Phone
(215) 242-8022
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Mariamma MathewNPI 1114395092
Title
Pharmacist
Phone
(267) 255-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RP438658 PA Primary

Addresses

Primary practice location

7700 Crittenden St
Philadelphia, PA 19118-4421

Mailing address

1417 Berkshire Dr
Bensalem, PA 19020-4266
Phone (267) 255-7444

Other identifiers 1

IdentifierTypeStateIssuer
861094OtherPAASSOCIATE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1851776017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BERKSHIRE DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204266",
            "telephone_number": "267-255-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CRITTENDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184421",
            "telephone_number": "215-242-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEAID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "MARIAMMA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "267-255-7444"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE NUMBER",
            "identifier": "861094",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.