RITE AID OF NEW YORK INC (NPI# 1639288194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639288194 |
| Entity Type | Organization |
| Organization Name | RITE AID OF NEW YORK INC |
| Other Organization Name | RITE AID PHARMACY 00609 |
| Practice Address |
1727 Black River Boulevard Rome NY 13440-2425 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 3153368890 |
| 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 |
012654 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 3315733 | 01 | |
| NY | 00584221 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 00609 | 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 |
1727 BLACK RIVER BOULEVARD |
| City | ROME |
| State | NY |
| Zip Code | 13440-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962727131 | Walter Gustav Hagues | Pharmacist | 1727 Black River Boulevard, Rome, NY 13440-0000 | 2010-03-31 |
| 1861715328 | Norene Relyea Pfendler | Pharmacist | 1727 Black River Boulevard, Rome, NY 13440 | 2010-03-11 |
| 1487899670 | Samir Khaldi | Pharmacist | 1727 Black River Boulevard, Rome, NY 13440 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1346650769 | Pranay Pharmacy LLC | Pharmacy | 823 Black River Blvd N, Rome, NY 13440-3549 | 2014-05-07 |
| 1205095767 | Ayush Pharmacy Corp | Pharmacy | 827 Black River Blvd N, Rome, NY 13440-3549 | 2008-06-09 |
| 1194887372 | Freds Stores of Tennessee Inc | Pharmacy | 4111 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2006-12-14 |
| 1871681205 | Eckerd Corporation | Pharmacy | Turin Road, Rome, NY 13440 | 2006-10-11 |
| 1598868010 | Georgia Cvs Pharmacy LLC | Pharmacy | 911 Shorter Ave Sw, Rome, GA 30165-4164 | 2006-09-07 |
| 1417962523 | Walgreen Co | Pharmacy | 701 Martha Berry Blvd Nw, Rome, GA 30165-1637 | 2006-07-29 |
| 1831128552 | North Heights Pharmacy Inc | Pharmacy | 411 W 10th St Ne, Rome, GA 30165-2640 | 2006-07-03 |
| 1083088181 | Floyd Healthcare Management, Inc | Pharmacy | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2015-11-30 |
| 1982036836 | Freds Stores of Tennessee Inc | Pharmacy | 1916 Redmond Cir Nw, Rome, GA 30165-1320 | 2013-08-02 |
| 1487741690 | Prescription Center Pharmacy of Rome, Inc. | Pharmacy | 143 N Washington St, Rome, NY 13440-5822 | 2006-10-07 |
| Find all providers in ROME | ||||
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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.