NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1962860015
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
058713 Issued in NY
Legal business name
RITE AID PHARMACY
Practice address
408 Grand St
New York, NY 10002-4702
Phone
(646) 510-0643
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dina Jazrawi
Title
Pharmacy District Manager
Phone
(212) 529-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 058713 NY Primary

Addresses

Primary practice location

408 Grand St
New York, NY 10002-4702

Mailing address

4413 30TH Ave
Astoria, NY 11103-2151

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

Locations

408 Grand St
New York, NY 10002
Phone (212) 460-5121

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1962860015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024702",
            "telephone_number": "646-510-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "JAZRAWI",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "212-529-2181"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "058713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.