RITE AID OF PENNSYLVANIA LLC (NPI# 1861582983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861582983 |
| Entity Type | Organization |
| Organization Name | RITE AID OF PENNSYLVANIA LLC |
| Other Organization Name | RITE AID PHARMACY 02702 |
| Practice Address |
667 Route 739 Hawley PA 18428-6001 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5707750405 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-27 |
| 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 |
PP414584L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID DME | 1007292980153 | 01 |
| PA | 1007292980153 | 05 | |
| OTHER ID NUMBER | 3964081 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 02702 | 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 |
667 ROUTE 739 |
| City | HAWLEY |
| State | PA |
| Zip Code | 18428-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376833343 | Shetaye Gulelat | Pharmacist | 667 Route 739, Hawley, PA 18428 | 2011-04-12 |
| 1205353166 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 667 Route 739, Hawley, PA 18428-6001 | 2017-08-23 |
| 1730471855 | Stanley Karoscik | Pharmacist | 667 Route 739, Hawley, PA 18428-6001 | 2011-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225619 | Julia Catherine Blaskiewicz | Physical Medicine & Rehabilitation | 2489 Us 6 Greshams Landing, Hawley, PA 18428 | 2018-11-30 |
| 1881108033 | Susan Ratki, O.t., LLC | Occupational Therapist | 1313 Hemlock Farms, Hawley, PA 18428 | 2017-11-27 |
| 1932644960 | Anthony S. Diecidue P.C. | Optometrist | 2571 Rte 6, Suite 1, Hawley, PA 18428 | 2016-12-29 |
| 1134675739 | Lindsay Masker | Behavioral Analyst | 2858 Hemlock Farms, Lords Valley, PA 18428 | 2016-09-01 |
| 1700201787 | The Singer Group, LLC | Nurse Practitioner | 2489 Us Route 6, Hawley, PA 18428 | 2014-02-27 |
| 1679886261 | Eileen Riley | Social Worker | 110 Hemlock Farms Road, Lords Valley, PA 18428 | 2010-07-23 |
| 1689803181 | Frank Deluca | Psychologist | 134 Fetlock Drive, Lords Valley, PA 18428 | 2009-07-07 |
| 1902066996 | Kelly S Lawrence | Counselor | 8 Silk Mill Drive, Suite 201, Hawley, PA 18428 | 2008-06-12 |
| 1366613812 | Carl Dennis Muehlbauer | Pharmacist | Rt 6 590 Palmrya Township, Lake Regional Center, Hawley, PA 18428 | 2008-03-12 |
| 1891905238 | Susan L. Ratki | Specialist | P.o. 1313 Hemlock Farms, Hawley, PA 18428 | 2007-05-23 |
| Find all providers in zip 18428 | ||||
| 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 |
|---|---|---|---|---|
| 1861598047 | Wahl Drug Inc | Pharmacy | 1515 Hartford Street, Hawley, MN 56549-0100 | 2006-09-15 |
| 1609223197 | Brundage Pharmacies Inc. | Pharmacy | 2489 Route 6, Hawley, PA 18428-6078 | 2016-05-16 |
| 1689095952 | Nudak Ventures LLC | Pharmacy | 1106 Hobart Street, Hawley, MN 56549-0626 | 2014-01-03 |
| 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 | ||||
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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.