RITE AID OF NEW YORK INC (NPI# 1366551830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366551830 |
| Entity Type | Organization |
| Organization Name | RITE AID OF NEW YORK INC |
| Other Organization Name | RITE AID PHARMACY 00646 |
| Practice Address |
147 North Comrie Avenue Johnstown NY 12095-1906 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5187624311 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-12-28 |
| 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 |
012658 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00519613 | 05 | |
| OTHER ID NUMBER | 3316076 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 00646 | 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 |
147 NORTH COMRIE AVENUE |
| City | JOHNSTOWN |
| State | NY |
| Zip Code | 12095-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
| 1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
| 1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
| Find all providers in zip 12095 | ||||
| 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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| 1386747111 | Ohio Cvs Stores LLC | Pharmacy | 797 W Coshocton St, Johnstown, OH 43031-9581 | 2006-09-07 |
| 1346255262 | Giant Eagle Inc | Pharmacy | 1451 Scalp Ave, Johnstown, PA 15904-3334 | 2006-07-29 |
| 1891700712 | Giant Eagle Inc | Pharmacy | 344 Goucher St, Johnstown, PA 15905-3423 | 2006-07-29 |
| 1528073442 | Giant Eagle Inc | Pharmacy | 1233 - 1245 Broad St, Johnstown, PA 15906-2440 | 2006-07-29 |
| 1306867122 | Martella's Pharmacy of Park Hill, LLC | Pharmacy | 1932 William Penn Ave, Johnstown, PA 15909-1637 | 2006-07-21 |
| 1184653164 | Professional Pharmacy Services Inc. | Pharmacy | 1 N Parish Ave, Johnstown, CO 80534-9095 | 2006-07-01 |
| 1578738597 | Professional Pharmacy Services | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2008-04-30 |
| 1841244704 | Angelo Friello Inc | Pharmacy | 2 E Main St, Johnstown, NY 12095-2623 | 2006-05-22 |
| Find all providers in JOHNSTOWN | ||||
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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.