RITE AID OF NEW YORK INC (NPI# 1063521375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521375 |
| Entity Type | Organization |
| Organization Name | RITE AID OF NEW YORK INC |
| Other Organization Name | RITE AID PHARMACY 01538 |
| Practice Address |
731 Center Street Lewiston NY 14092-1705 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 7167549201 |
| 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 |
018342 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 3381035 | 01 | |
| NY | 00860577 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01538 | 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 |
731 CENTER STREET |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| 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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|---|---|---|---|---|
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| 1245381094 | Chastains Incorporated | Pharmacy | 720 16th Ave Ste 1, Lewiston, ID 83501-3768 | 2007-01-16 |
| 1093819815 | Cvs Albany LLC | Pharmacy | 795 Center St, Lewiston, NY 14092-1705 | 2006-09-12 |
| 1831103126 | Lewiston Apothecary, LLC | Pharmacy | 400 Plain St, Lewiston, NY 14092-1627 | 2006-07-29 |
| 1669015244 | Community Health Association of Spokane | Pharmacy | 1203 Idaho St, Lewiston, ID 83501-1940 | 2019-10-25 |
| 1457739989 | Hells Canyon Health and Wellness Pharmacy | Pharmacy | 523 Thain Rd, Lewiston, ID 83501 | 2015-05-17 |
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| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 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 |
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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.