NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Watertown, CT
National Provider Identifier
1982010344
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0012922 Issued in CT
Legal business name
RITE AID PHARMACY
Practice address
1271 Main St
Watertown, CT 06795-3107
Phone
(860) 274-9191
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Kleona Kolludra
Title
Pharmacist
Phone
(860) 274-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0012922 CT Primary

Addresses

Primary practice location

1271 Main St
Watertown, CT 06795-3107

Mailing address

1271 Main St
Watertown, CT 06795-3107

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1982010344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953107",
            "telephone_number": "860-274-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "KOLLUDRA",
        "authorized_official_first_name": "KLEONA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "860-274-9191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0012922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

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

Verify at the official NPI Registry.