Active NPI
Rite Aid
- Pharmacist
- Irvington, NJ
National Provider Identifier
1902214505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03419100
- Legal business name
- RITE AID
- Practice address
- 1015 Springfield Ave
Irvington, NJ 07111-2024 - Phone
- (973) 372-3010
- NPI assigned
- Jul 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Luyang Chen, R,PH
- Title
- Pharmacist
- Phone
- (973) 372-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03419100 | NJ | Primary |
Addresses
Primary practice location
1015 Springfield Ave
Irvington, NJ 07111-2024
Mailing address
1015 Springfield Ave
Irvington, NJ 07111-2024
Phone (973) 372-3010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406419200000",
"number": "1902214505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SPRINGFIELD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112024",
"telephone_number": "973-372-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SPRINGFIELD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112024",
"telephone_number": "973-372-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-27",
"last_updated": "2014-07-27",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "LUYANG",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "973-372-3010",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "R,PH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03419100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.