RITE AID OF PENNSYLVANIA LLC (NPI# 1780774802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780774802 |
| Entity Type | Organization |
| Organization Name | RITE AID OF PENNSYLVANIA LLC |
| Other Organization Name | RITE AID PHARMACY 02248 |
| Practice Address |
639 Hamlin Highway Lake Ariel PA 18436-0000 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5706894660 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-11 |
| 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 |
PP414269L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DME | 1007292981159 | 01 |
| OTHER ID NUMBER | 3959256 | 01 | |
| PA | 1007292981159 | 05 | |
| PA | PA MEDICAID-BEFORE RELO | 1007292980016 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 02248 | 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 |
639 HAMLIN HIGHWAY |
| City | LAKE ARIEL |
| State | PA |
| Zip Code | 18436-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467993626 | Kelsey Russo | Specialist/Technologist | 2362 Tanglewood Lane, Lake Ariel, PA 18436 | 2017-03-20 |
| 1548716145 | Little Creek Out Patient Services LLC | Clinic/Center | 518 Easton Turnpike, Lake Ariel, PA 18436 | 2016-09-01 |
| 1720460454 | Erin Mattox | Physical Therapy Assistant | 1089 Mustang Road, Lake Ariel, PA 18436 | 2015-06-18 |
| 1033373485 | Katherine Rosalie Schloesser | Dentist | 554 Hamlin Highway, Lake Ariel, PA 18436 | 2008-07-15 |
| 1962676494 | Marcela Blair | Social Worker | 369 Renwood Court, Lake Ariel, PA 18436 | 2008-04-16 |
| 1407048689 | Micro Diagnostics Imaging Inc | Durable Medical Equipment & Medical Supplies | 473 Easton Turnpike, Suite G, Lake Ariel, PA 18436 | 2007-08-13 |
| 1780667097 | Robert J. Morton | Pediatrics | 62 Industrial Park Road, Lake Ariel, PA 18436 | 2005-11-22 |
| 1265414296 | Theresa A Lafranco | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436 | 2005-11-16 |
| 1295268365 | Sabrina Noelle Cimerol | Student in an Organized Health Care Education/Training Program | 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436 | 2017-04-06 |
| 1356632236 | Brian A. Barland | Pharmacist | 639 Hamlin Hwy, Lake Ariel, PA 18436 | 2011-04-26 |
| Find all providers in zip 18436 | ||||
| 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 |
|---|---|---|---|---|
| 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 | LAKE ARIEL |
| Zip Code | 18436 |
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.