RITE AID OF VIRGINIA INC (NPI# 1104935402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104935402 |
| Entity Type | Organization |
| Organization Name | RITE AID OF VIRGINIA INC |
| Other Organization Name | RITE AID PHARMACY 01403 |
| Practice Address |
140 South Main Street Stuart VA 24171-3860 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2766944034 |
| Mailing Telephone | 7177612633 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201002062 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAID DME | 9107819 | 01 |
| VA | 008514291 | 05 | |
| NC | MEDICAID DME | 7705120 | 01 |
| NC | 0496878 | 05 | |
| NCPDP | 4818386 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01403 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995167 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 13554 Carrollton Blvd, Carrollton, VA 23314-3210 | 2016-11-29 |
| 1528420130 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 6150 College Drive, Suffolk, VA 23435-1234 | 2016-03-23 |
| 1932355872 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 14610 Lee Highway, Gainesville, VA 20155-1831 | 2008-08-12 |
| 1689857526 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 11129 Gordon Road, Fredericksburg, VA 22407-1714 | 2007-12-14 |
| 1922134683 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 10744 Tidewater Trail, Fredericksburg, VA 22408-2049 | 2007-02-26 |
| 1932257961 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 10100 Jefferson Davis Highway, Fredericksburg, VA 22407-9419 | 2007-01-08 |
| 1659445310 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 450 North Ridge Road, Richmond, VA 23229-7404 | 2006-11-17 |
| 1467563692 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 1661 Laskin Road, Virginia Beach, VA 23451-6138 | 2006-08-31 |
| 1679684898 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 590 Madison Road, Culpeper, VA 22701-3374 | 2006-08-31 |
| 1003927211 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 5500 Lakeside Avenue, Richmond, VA 23228-5719 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RITE AID OF VIRGINIA INC. | 30 Hunter Ln, Camp Hill, Pennsylvania 17011-2400 |
| Street Address |
140 SOUTH MAIN STREET |
| City | STUART |
| State | VA |
| Zip Code | 24171-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1154425015 | Holiday Cvs LLC | Pharmacy | 2284 Se Federal Hwy, Stuart, FL 34994-4554 | 2006-09-12 |
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| 1629083753 | Walgreen Co | Pharmacy | 3180 Se Federal Hwy, Stuart, FL 34994-5531 | 2006-07-29 |
| 1962925735 | Walgreen Co | Pharmacy | 140 S Main St, Stuart, VA 24171 | 2017-07-24 |
| 1225186497 | Prescription Shop of Stuart, Inc | Pharmacy | 622 Colorado Ave, Stuart, FL 34994-3016 | 2007-01-06 |
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| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.