NPIMap

Organization Active NPI

Rite Aid

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1922402072
Registry record updated Oct 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71584 Issued in CA
Legal business name
RITE AID
Practice address
1411 Kettner Blvd
San Diego, CA 92101-2420
Phone
(619) 231-7405
NPI assigned
Oct 18, 2014
Last updated
Oct 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2014

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

Authorized official

Name
Julie QuachNPI 1053715946
Title
Pharmacist
Phone
(619) 231-7405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

1411 Kettner Blvd
San Diego, CA 92101
Phone (619) 231-7405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.