RITE AID OF PENNSYLVANIA LLC (NPI# 1508049636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508049636 |
| Entity Type | Organization |
| Organization Name | RITE AID OF PENNSYLVANIA LLC |
| Other Organization Name | RITE AID PHARMACY 07880 |
| Practice Address |
277 Dekalb Pike North Wales PA 19454-1806 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2156610141 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-08-19 |
| 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 |
PP481779 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID DME | 1007292981123 | 01 |
| PA | 1007292981123 | 05 | |
| OTHER ID NUMBER | 3989514 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 07880 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236733 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 503 Clifton Rd, Bethel Park, PA 15102-1341 | 2018-05-22 |
| 1285009100 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1900 Arch Street, Philadelphia, PA 19103-1305 | 2015-12-03 |
| 1346621802 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 100 Forbes Avenue, Suite 100, Pittsburgh, PA 15233-1234 | 2015-06-10 |
| 1720489081 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 94 June Drive, Roaring Spring, PA 16673 | 2014-09-05 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1821499187 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1201 Blair Street, Hollidaysburg, PA 16648 | 2014-09-05 |
| 1548660129 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1365 Logan Avenue, Tyrone, PA 16686 | 2014-09-02 |
| 1629245436 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 2108 Macarthur Road, Whitehall, PA 18052-4520 | 2008-05-12 |
| 1205009941 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 3145 Main Street, Morgantown, PA 19543 | 2008-04-02 |
| 1184894180 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 9200 Frankford Avenue, Philadelphia, PA 19114 | 2008-03-05 |
| Street Address |
277 DEKALB PIKE |
| City | NORTH WALES |
| State | PA |
| Zip Code | 19454-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525795 | Rite Aid Pharmacy | Pharmacist | 277 Dekalb Pike, North Wales, PA 19454 | 2016-09-07 |
| 1053775882 | Jennifer Ashley Arno | Pharmacist | 277 Dekalb Pike, North Wales, PA 19454-1806 | 2016-04-07 |
| 1891102646 | Isha Madhani | Pharmacist | 277 Dekalb Pike, North Wales, PA 19454-1806 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258960 | Stephanie Dalzon | Contractor | 700 Lower State Rd Apt Th20, North Wales, PA 19454 | 2017-07-24 |
| 1457723611 | Stacey Kirchein | Dietitian, Registered | 700 Lower State Rd, Apt 18a1, North Wales, PA 19454 | 2015-10-28 |
| 1902289713 | Nani Rivera-cox | Marriage & Family Therapist | 217 Church Road, North Wales, PA 19454 | 2015-06-30 |
| 1104254812 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 167 Montgomery Mall, North Wales, PA 19454 | 2013-10-16 |
| 1023367323 | Wholistics / Wholistic Fitness LLC | Psychologist | 217 Church Rd Suite B, North Wales, PA 19454 | 2012-08-31 |
| 1396075925 | Mary M Oconnor | Occupational Therapist | 102 West Walnut St., North Wales Hand Rehabilitation, North Wales, PA 19454 | 2010-01-04 |
| 1104155050 | Laurie F Langbein | Counselor | 101 Chamberlain Cir, North Wales, PA 19454 | 2009-12-23 |
| 1235397225 | Jennifer Gail Duncan | Dentist | 298 Wissahickon Avenue, Suite 3, North Wales, PA 19454 | 2008-05-28 |
| 1811101967 | Angel Wahib Elbardissi | Dentist | 210 Stump Rd, North Wales, PA 19454 | 2007-05-09 |
| 1336361963 | Arlene M. Lavner | Counselor | 1233 Laura Lane, North Wales, PA 19454 | 2007-05-03 |
| Find all providers in zip 19454 | ||||
| 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 |
|---|---|---|---|---|
| 1508221656 | Riteaid | Pharmacy | 217 Harley Ct, North Wales, PA 19454-1614 | 2015-12-16 |
| 1750717849 | Wellness Pharmacy Services LLC | Pharmacy | 1427 Horsham Road, North Wales, PA 19454-0312 | 2013-09-19 |
| 1881720050 | Evergreen Pharmacy, P.C. | Pharmacy | 1222 Welsh Rd, Suite# C-1, North Wales, PA 19454-2054 | 2007-02-24 |
| 1487016473 | North Wales Family Pharmacy, Inc | Pharmacy | 107 S Main St, North Wales, PA 19454-2832 | 2016-03-28 |
| 1013027648 | Costco Wholesale Corporation | Pharmacy | 740 Upper State Rd, North Wales, PA 19454 | 2006-08-30 |
| 1437160009 | Contract Pharmacy Services Inc | Pharmacy | 1425 Horsham Rd, 2nd Fl, North Wales, PA 19454-1320 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WALES |
| Zip Code | 19454 |
Please comment or provide details below to improve the information on RITE AID OF PENNSYLVANIA LLC.
| 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.