RITE AID OF NEW YORK INC (NPI# 1740399070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740399070 |
| Entity Type | Organization |
| Organization Name | RITE AID OF NEW YORK INC |
| Other Organization Name | RITE AID PHARMACY 02674 |
| Practice Address |
73 North Main Street Big M Shopping Center Brockport NY 14420-1648 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5856371151 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-12-29 |
| 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 |
020938 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01259003 | 05 | |
| OTHER ID NUMBER | 3398511 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 02674 | 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 |
73 NORTH MAIN STREET BIG M SHOPPING CENTER |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| 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 |
|---|---|---|---|---|
| 1225071566 | Lakeside Memorial Hospital Inc | Pharmacy | 156 West Ave, Brockport, NY 14420-1229 | 2006-06-14 |
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| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 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.