RITE AID DRUG PALACE INC


Address: 408 Grand Street, New York, NY 10002-4702
Phone: 2125297115

RITE AID DRUG PALACE INC (NPI# 1104935428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104935428
Entity Type Organization
Organization Name RITE AID DRUG PALACE INC
Other Organization Name RITE AIDPHARMACY 01711
Practice Address 408 Grand Street
New York
NY 10002-4702
Mailing Address 200 Newberry Commons
Etters
PA 17319-9363
Practice Telephone 2125297115
Mailing Telephone 7177612633
Mailing Fax Number 7179758659
Enumeration Date 2006-08-30
Last Update Date 2020-08-27
Authorized Official Name JENNIFER ZOREK (MANAGER OL ADJUDICATION)
Authorized Official Telephone 7179755937
Is Organization Subpart N

Taxonomy

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
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY MEDICAID DME 01004984 01
OTHER ID NUMBER-COMMERCIAL NUMBER 3388990 01
NY 01004984 05

Other Provider/Organization Names

Other Name Type Code
RITE AIDPHARMACY 01711 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922119080 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 3301 30th Avenue, Astoria, NY 11103-4601 2006-08-31
1093826158 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 185 Kings Highway, Brooklyn, NY 11223-1105 2006-08-31
1780795831 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 1380 Rockaway Parkway, Brooklyn, NY 11236-2322 2006-08-31
1134230204 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 3040 Eastchester Road, #44, Bronx, NY 10469-3202 2006-08-31
1801907951 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 3901 White Plains Road, Bronx, NY 10466-3017 2006-08-31
1760591085 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 462 Fifth Avenue, Brooklyn, NY 11215-4004 2006-08-30
1003925322 Rite Aid Drug Palace Inc Pharmacy 1242 Liberty Avenue, Ozone Park, NY 11417-1044 2006-08-30
1124137500 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 4220 Delaware Avenue, Del Ton Plaza, Tonawanda, NY 14150-6120 2006-08-30
1295844512 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 222-14 Linden Boulevard, Cambria Heights, NY 11411-1606 2006-08-30
1679682991 Rite Aid Drug Palace Inc Durable Medical Equipment & Medical Supplies 3085 East Tremont Avenue, Bronx, NY 10461-5720 2006-08-30

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities RITE AID DRUG PALACE INC Po Box 3165, Harrisburg, PA
North Carolina Corporations RITE AID DRUG PALACE INC. 2 South Salisbury Street, Raleigh, NC 27601

Office Location

Street Address 408 GRAND STREET
City NEW YORK
State NY
Zip Code 10002-4702

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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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City NEW YORK
Zip Code 10002

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Dataset Information

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.

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