RITE AID OF KENTUCKY INC (NPI# 1093825812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093825812 |
| Entity Type | Organization |
| Organization Name | RITE AID OF KENTUCKY INC |
| Other Organization Name | RITE AID PHARMACY 04642 |
| Practice Address |
4721 Dixie Highway Shively KY 40216-2654 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5024476550 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | JENNIFER M 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 |
P06231 | KY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAID DME | 90339565 | 01 |
| NCPDP | 1824209 | 01 | |
| KY | EPSDT | 45548054 | 01 |
| KY | 5403191900 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 04642 | 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 |
| 1538279351 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8651 Preston Highway, Louisville, KY 40219-5305 | 2006-08-30 |
| 1821108721 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 3349 Tates Creek Road, Lexington, KY 40502-3409 | 2006-08-30 |
| Street Address |
4721 DIXIE HIGHWAY |
| City | SHIVELY |
| State | KY |
| Zip Code | 40216-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| 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 |
|---|---|---|---|---|
| 1447775077 | Walgreen Co | Pharmacy | 4721 Dixie Hwy, Shively, KY 40216 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 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.