RITE AID OF TENNESSEE INC (NPI# 1255440541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255440541 |
| Entity Type | Organization |
| Organization Name | RITE AID OF TENNESSEE INC |
| Other Organization Name | RITE AID PHARMACY 01409 |
| Practice Address |
460 West Bockman Way Sparta TN 38583-1833 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 9318361500 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | JENNIFER 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 |
1528 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4420321 | 01 | |
| TN | 4420321 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01409 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619123569 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2528 Old Fort Parkway, Murfreesboro, TN 37128-4153 | 2008-08-12 |
| 1336395284 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 498 Warfield Boulevard, Clarksville, TN 37043-6071 | 2008-08-12 |
| 1669635595 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 200 New Berry Commons, Etters, PA 17319-9363 | 2008-07-10 |
| 1871602169 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 4642 Quince Road, Memphis, TN 38117-6547 | 2006-08-30 |
| 1598874885 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 3060 Thomas Street, Memphis, TN 38127-7606 | 2006-08-30 |
| 1265541551 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 14978 Rankin Avenue, Dunlap, TN 37327-7006 | 2006-08-30 |
| 1174632467 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 409 Mulberry Avenue, Selmer Square Shopping Center, Selmer, TN 38375-2307 | 2006-08-30 |
| 1164531455 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 106 West Race Street, Kingston, TN 37763-2721 | 2006-08-30 |
| 1154430445 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1255 Highway 11 West, Bean Station, TN 37708-5810 | 2006-08-30 |
| 1891804183 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 14860 Highland Drive, Mckenzie Shopping Plaza, Mckenzie, TN 38201-2606 | 2006-08-30 |
| Street Address |
460 WEST BOCKMAN WAY |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| 1346312477 | Abhay G Kemkar | Internal Medicine | 441 Sewell Rd, Sparta, TN 38583 | 2006-11-14 |
| Find all providers in zip 38583 | ||||
| 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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|---|---|---|---|---|
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1821400797 | Sparta Pharmacy | Pharmacy | 61 Sparta Ave Unit B, Sparta, NJ 07871-1822 | 2014-05-27 |
| 1396845624 | Family Fare, LLC | Pharmacy | 565 S State St, Sparta, MI 49345-1568 | 2006-09-25 |
| 1245872704 | Sparta Drug Center LLC | Pharmacy | 425 N Spring St, Sparta, TN 38583-1323 | 2019-10-16 |
| 1477645075 | New Jersey Cvs Pharmacy LLC | Pharmacy | 11 Theatre Ctr, Sparta, NJ 07871-2405 | 2006-09-29 |
| 1457465437 | Halsey Drug LLC | Pharmacy | 55 S Main St, Sparta, NC 28675-9643 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| 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.