RITE AID PHARMACY STORE# 05786 (NPI# 1184016420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184016420 |
| Entity Type | Organization |
| Organization Name | RITE AID PHARMACY STORE# 05786 |
| Practice Address |
5845 E Los Angeles Ave Simi Valley CA 93063-4256 |
| Mailing Address |
5845 E Los Angeles Ave N/a Simi Valley CA 93063-4256 |
| Practice Telephone | 8055222029 |
| Practice Fax Number | 8055223278 |
| Mailing Telephone | 8055222029 |
| Mailing Fax Number | 8055223218 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | MR. SAMIR BASSILY DEIBO (MANAGER) |
| Authorized Official Telephone | 8055222029 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 41197 | CA | Suppliers |
| Street Address |
5845 E LOS ANGELES AVE |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194045989 | Rafeek Iskander | Pharmacist | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2010-06-03 |
| 1295114163 | Samir Deibo | Pharmacist | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2015-05-26 |
| 1811241110 | Rite Aid Pharmacy | Pharmacy | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2012-11-08 |
| 1871809608 | Rite Aid Pharmacy | Pharmacy | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697489 | Trisys Management Group, Inc | Pharmacy | 1464 Madera Rd # N-182, Simi Valley, CA 93065-3077 | 2014-11-25 |
| 1669731576 | Jv Pharmacy & Medical Supply Inc | Pharmacy | 1357 E Los Angeles Ave Ste C, Simi Valley, CA 93065-2805 | 2012-05-11 |
| 1437160066 | Rosebill Pharmacy Corp | Pharmacy | 2519 Royal Ave, Simi Valley, CA 93065-4700 | 2006-08-10 |
| 1669469615 | Deal Enterprises Inc | Pharmacy | 2950 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1232 | 2005-10-04 |
| 1629314109 | Sterling Pharmacy, Inc. | Pharmacy | 2315 Kuehner Dr, Suite 110, Simi Valley, CA 93063-3900 | 2013-01-02 |
| 1811241110 | Rite Aid Pharmacy | Pharmacy | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2012-11-08 |
| 1285984468 | Costco Pharmacy | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2012-09-14 |
| 1447307764 | Kaiser Foundation Health Plan Inc | Pharmacy | 3900 Alamo St, Simi Valley, CA 93063-2111 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
Please comment or provide details below to improve the information on RITE AID PHARMACY STORE# 05786.
| 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.