RITE AID OF KENTUCKY INC (NPI# 1255440723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255440723 |
| Entity Type | Organization |
| Organization Name | RITE AID OF KENTUCKY INC |
| Other Organization Name | RITE AID PHARMACY 03954 |
| Practice Address |
4101 Tates Creek Centre Drive Lexington KY 40517-3066 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8592730222 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-06-25 |
| 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 |
2000 | KY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | NCPDP | 1818939 | 01 |
| KY | EPSDT | 45546637 | 01 |
| KY | MEDICAID DME | 90470345 | 01 |
| KY | 5402305600 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 03954 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104081405 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 2296 Executive Drive, Lexington, KY 40505-4820 | 2008-07-25 |
| 1144406679 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 704 Happy Valley Road, Glasgow, KY 42141-1544 | 2008-01-15 |
| 1881896736 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 100 Malabu Drive, Lexington, KY 40503-3159 | 2007-06-04 |
| 1215077334 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8014 Bardstown Road, Louisville, KY 40291-3440 | 2007-02-07 |
| 1699832899 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1401 Keene Road, Nicholasville, KY 40356-8922 | 2007-01-03 |
| 1336259159 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1203 13th Street, Ashland, KY 41101-2607 | 2006-08-30 |
| 1124138037 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1735 Scherm Road, Owensboro, KY 42301-5972 | 2006-08-30 |
| 1467561449 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1303 Us 127 South, Suite 106, Frankfort, KY 40601-0000 | 2006-08-30 |
| 1093825812 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 4721 Dixie Highway, Shively, KY 40216-2654 | 2006-08-30 |
| 1538279351 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8651 Preston Highway, Louisville, KY 40219-5305 | 2006-08-30 |
| Street Address |
4101 TATES CREEK CENTRE DRIVE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| 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 |
|---|---|---|---|---|
| 1477188464 | Redding Drug LLC | Pharmacy | 431 Redding Rd Ste 140, Lexington, KY 40517-2534 | 2020-03-10 |
| 1295372068 | Hometown Pharmacy of Lexington,pllc | Pharmacy | 2860 Richmond Rd Ste 190, Lexington, KY 40509-2766 | 2019-11-29 |
| 1447807458 | Saint Joseph Health System, Inc | Pharmacy | 1401 Harrodsburg Rd Ste B375, Lexington, KY 40504-3700 | 2019-08-23 |
| 1013490978 | Jason Lee Ratliff | Pharmacy | 740 South Limestone Street Room J-134, Lexington, KY 40536-0001 | 2018-09-07 |
| 1912433228 | Family Pharmacy LLC | Pharmacy | 4316 S Nc Highway 150, Lexington, NC 27295-5161 | 2017-05-05 |
| 1730564733 | Sunshine Pharmacy Services LLC | Pharmacy | 1856 S Lake Dr Ste K, Lexington, SC 29073-7225 | 2015-07-21 |
| 1184008435 | Your Care Pharmacy of Kentucky, LLC | Pharmacy | 3660 Rabbits Foot Trl, Unit 1, Lexington, KY 40503-3750 | 2015-07-16 |
| 1932532066 | Costco Wholesale Corporation | Pharmacy | 1500 Fitzgerald Ct Ste 100, Lexington, KY 40509 | 2013-08-13 |
| 1588007090 | Pharmacy Surge Unit #1 | Pharmacy | 808 Newtown Cir, Lexington, KY 40511-1230 | 2013-04-15 |
| 1255620464 | Broadway Clinic Pharmacy Inc | Pharmacy | 698 E New Circle Rd, Lexington, KY 40505-2948 | 2011-03-29 |
| Find all providers in LEXINGTON | ||||
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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.