RITE AID OF NEW YORK INC (NPI# 1255420980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255420980 |
| Entity Type | Organization |
| Organization Name | RITE AID OF NEW YORK INC |
| Other Organization Name | RITE AID PHARMACY 00742 |
| Practice Address |
76 Pike Street Port Jervis NY 12771-2414 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8458568342 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT) |
| 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 |
030904 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00315875 | 05 | |
| OTHER ID NUMBER | 3316242 | 01 | |
| PA | PA MEDICAID | 1007631000017 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 00742 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588982110 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 3732 Route 9 West, Highland, NY 12528-0000 | 2010-05-06 |
| 1699947622 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 31 New Scotland Avenue, Albany, NY 12208-3527 | 2008-03-31 |
| 1447437306 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 1701 Route 9, Clifton Park, NY 12065-3100 | 2008-01-23 |
| 1518143031 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 10640 Rockaway Beach Boulevard, Rockaway Park, NY 11694-2600 | 2008-01-15 |
| 1316138159 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 840 Westchester Avenue, Bronx, NY 10459-4001 | 2007-08-07 |
| 1700082773 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 3012 3rd Avenue, Bronx, NY 10455-1201 | 2007-06-26 |
| 1326173493 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 2160 State Route 9, Lake George, NY 12845-6120 | 2007-02-22 |
| 1770627374 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 925 Soundview Avenue, Bronx, NY 10473-3703 | 2007-02-16 |
| 1689714800 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 5 Lake Street, Stamford, NY 12167-1007 | 2007-02-07 |
| 1447306261 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 1 Crum Elbow Road, Hyde Park, NY 12538-2806 | 2007-01-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | RITE AID OF NEW YORK INC | 2460 RT 52 PINE BUSH NY 12566 |
| New York State Retail Food Store | RITE AID OF NEW YORK INC. | 840 WESTCHESTER AVE BRONX NY 10459 |
| Street Address |
76 PIKE STREET |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on RITE AID OF NEW YORK INC.
| 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.