NPIMap

Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1861937427
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24671 Issued in MD
Legal business name
RITE AID
Practice address
4339 Ebenezer Rd
Baltimore, MD 21236-2143
Phone
(410) 529-6171
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Samer Boghdady
Title
Pharmacist
Phone
(410) 292-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 24671 MD Primary

Addresses

Primary practice location

4339 Ebenezer Rd
Baltimore, MD 21236-2143

Mailing address

4339 Ebenezer Rd
Baltimore, MD 21236-2143

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Specialty Pharmacy LLC49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1861937427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BOGHDADY",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-292-6965"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "24671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.