Rite Aid of New York Inc
Organization Active NPI Community/Retail Pharmacy · Chittenango, NY
NPI 1992814461 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1992814461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 013173 (NY)
- Legal business name
- RITE AID OF NEW YORK INC
- Practice address
- 1365 West Genesee Street
Chittenango, NY 13037-8505 - Phone
- (315) 687-3841
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100820000438 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800920273 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 013173 | NY | Yes |
Addresses
Primary practice location
1365 West Genesee Street
Chittenango, NY 13037-8505
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3316115 | Other | OTHER ID NUMBER | |
| RI1002983 | Medicaid | VT | |
| 00487792 | Medicaid | NY |
Other names
- RITE AID PHARMACY 00655
Other providers in Chittenango, NY
- Cynthia F Phillips
- Podiatry Services of Central New York, PC
- Nancy Poore
- Heidi S Puc
- Theresa A Richardson
- Hanna Rogers
- Rajoana Rojony
- Zachary Rosado
- Laura Sanfilippo
- Sarah Scholes M Sarah Scholes
All providers in Chittenango, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.