RITE AID OF KENTUCKY INC (NPI# 1053420539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053420539 |
| Entity Type | Organization |
| Organization Name | RITE AID OF KENTUCKY INC |
| Other Organization Name | RITE AID PHARMACY 03272 |
| Practice Address |
612 West Stockton Street Edmonton KY 42129-9458 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2704322725 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS) |
| 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 |
2468 | KY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | EPSDT | 45547056 | 01 |
| KY | 5402819600 | 05 | |
| NCPDP | 1822178 | 01 | |
| KY | MEDICAID DME | 90020850 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 03272 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104081405 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 2296 Executive Drive, Lexington, KY 40505-4820 | 2008-07-25 |
| 1144406679 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 704 Happy Valley Road, Glasgow, KY 42141-1544 | 2008-01-15 |
| 1881896736 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 100 Malabu Drive, Lexington, KY 40503-3159 | 2007-06-04 |
| 1215077334 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8014 Bardstown Road, Louisville, KY 40291-3440 | 2007-02-07 |
| 1699832899 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1401 Keene Road, Nicholasville, KY 40356-8922 | 2007-01-03 |
| 1336259159 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1203 13th Street, Ashland, KY 41101-2607 | 2006-08-30 |
| 1124138037 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1735 Scherm Road, Owensboro, KY 42301-5972 | 2006-08-30 |
| 1467561449 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 1303 Us 127 South, Suite 106, Frankfort, KY 40601-0000 | 2006-08-30 |
| 1093825812 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 4721 Dixie Highway, Shively, KY 40216-2654 | 2006-08-30 |
| 1538279351 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8651 Preston Highway, Louisville, KY 40219-5305 | 2006-08-30 |
| Street Address |
612 WEST STOCKTON STREET |
| City | EDMONTON |
| State | KY |
| Zip Code | 42129-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162503 | Barren River District Health Department | Public Health or Welfare | 102 Ralph Edwards Rd, Edmonton, KY 42129 | 2013-05-24 |
| 1114257615 | Laura Dale Miller | Developmental Therapist | 111 Gail Dr, Edmonton, KY 42129 | 2010-01-05 |
| 1629240759 | Edmonton Primary Care Nursing Group | Nurse Practitioner | 903 West Stockton Street, Edmonton, KY 42129 | 2008-03-28 |
| 1861676421 | Metcalfe Health Services, Inc. | Clinic/Center | 770 Industrial Drive, Edmonton, KY 42129 | 2007-12-19 |
| 1639350200 | Barren River District Health Department | Public Health or Welfare | 615 West Stockton Street, Edmonton, KY 42129 | 2007-11-23 |
| 1336329044 | Metcalfe Co. Schools | Local Education Agency (LEA) | 1007 West Stockton Street, Edmonton, KY 42129 | 2007-11-09 |
| 1013058494 | Mikki S Page | Social Worker | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-09 |
| 1285771295 | Nancy Lee Barrett | Nurse Practitioner | 112 Sartin Dr, Edmonton, KY 42129 | 2007-01-31 |
| 1629148481 | John W Miller | Dentist | 108 Elmore Street, Edmonton, KY 42129 | 2006-11-09 |
| 1932298312 | James Michael Pasley | Counselor | Metcalfe County Service Center, 112 Sartin Dr, Edmonton, KY 42129 | 2006-10-12 |
| Find all providers in zip 42129 | ||||
| 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] |
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| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| 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.