Organization Active NPI

Rite Aid #10137

  • Pharmacist
  • Canton, MA
National Provider Identifier
1992010060
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16328 Issued in MA
Legal business name
RITE AID #10137
Practice address
4 Washington St
Canton, MA 02021-4004
Phone
(781) 821-0515
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Angelo Nikos Papppas, RPH
Title
Pharmacy Manager
Phone
(781) 821-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 16328 MA Primary

Addresses

Primary practice location

4 Washington St
Canton, MA 02021-4004

Mailing address

4 Washington St
Canton, MA 02021-4004
Phone (781) 821-0515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1992010060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214004",
            "telephone_number": "781-821-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214004",
            "telephone_number": "781-821-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID #10137",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "PAPPPAS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "NIKOS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "781-821-0515",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "16328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.