Active NPI
Rite Aid
- Pharmacist
- San Diego, CA
National Provider Identifier
1922402072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71584
- Legal business name
- RITE AID
- Practice address
- 1411 Kettner Blvd
San Diego, CA 92101-2420 - Phone
- (619) 231-7405
- NPI assigned
- Oct 18, 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
- Julie Quach
- Title
- Pharmacist
- Phone
- (619) 231-7405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71584 | CA | Primary |
Addresses
Primary practice location
1411 Kettner Blvd
San Diego, CA 92101-2420
Mailing address
1411 Kettner Blvd
San Diego, CA 92101-2420
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413590400000",
"number": "1922402072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 KETTNER BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 KETTNER BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012420",
"telephone_number": "619-231-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITE AID",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-18",
"last_updated": "2014-10-18",
"status": "A",
"authorized_official_last_name": "QUACH",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "619-231-7405"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "71584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.