Rite Aid

Primary specialty

PharmacistTaxonomy code 183500000X

License

PT38312 Issued in CA

Legal business name

RITE AID

Practice address

23965 Ironwood Ave
Moreno Valley, CA 92557-7153

Phone

(951) 242-1742

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

In Soon Kim

Title

Pharmacist

Phone

(909) 597-3658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1962717488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23965 IRONWOOD AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577153",
            "telephone_number": "951-242-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23965 IRONWOOD AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577153",
            "telephone_number": "951-242-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "IN SOON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-597-3658"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PT38312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corie Zenobia Rideau
• Yadira Nayeli Rincon
• Maria Guadalupe Rios Luna
• Cecilia Rios Rios
• Danielle Riportella
• Guadalupe Rivas
• Karena Rivas
• Willie Rivera Landeros, PA
• Mayra Rivera, MSW, ACSW
• Pearl Vanessa Rivera

• Pharmacist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.