RITE AID PHARMACY (NPI# 1275822744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275822744 |
| Entity Type | Organization |
| Organization Name | RITE AID PHARMACY |
| Practice Address |
2141 S Crater Rd Petersburg VA 23805-2701 |
| Practice Telephone | 8047333471 |
| Practice Fax Number | 8047333984 |
| Mailing Telephone | 8047333471 |
| Mailing Fax Number | 8047333984 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MRS. FELICIA SHERRY BRACEY (PHARMACY MANAGER) |
| Authorized Official Telephone | 8047333471 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202011049 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295705 | Rite Aid Pharmacy | Pharmacy | 31 Rock Ridge Rd, Westerly, RI 02891-3704 | 2016-10-10 |
| 1952854903 | Rite Aid Pharmacy | Pharmacy | 412 Angell St, Apartment 2, Providence, RI 02906-4013 | 2016-07-26 |
| 1568812105 | Rite Aid Pharmacy | Pharmacist | 177 Old Mill Rd, Apt 5, Ephrata, PA 17522-1990 | 2016-06-14 |
| 1215385547 | Rite Aid Pharmacy | Pharmacy | 907 High St N, Millville, NJ 08332-3762 | 2016-05-26 |
| 1548666753 | Rite Aid Pharmacy | Pharmacist | 2220 Fairfax Dr Apt 508, Arlington, VA 22201-6631 | 2014-11-16 |
| 1720484173 | Rite Aid Pharmacy | Health Maintenance Organization | 4394 Hemmingway Dr, Kalamazoo, MI 49009-2471 | 2014-11-12 |
| 1871992271 | Rite Aid Pharmacy | Pharmacy | 4652 W Houghton Lake Rd, Houghton Lake, MI 48629 | 2014-08-21 |
| 1265841449 | Rite Aid Pharmacy | Pharmacist | 123 Beth Dr, Philadelphia, PA 19115-2702 | 2014-08-12 |
| 1255749818 | Rite Aid Pharmacy | Pharmacy | 1320 Shipyard Ln # 3, Hoboken, NJ 07030-5582 | 2014-07-28 |
| 1568878569 | Rite Aid Pharmacy | Pharmacy | 22 Narrows Shopping Center, Edwardsville, PA 18704-2518 | 2014-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | RITE AID PHARMACY OF BARKHAMSTED, INC. | P O Box 3165, Harrisburg, PA 17105 |
| Connecticut Business Registrations | RITE AID PHARMACY OF DANBURY, INC. | Franklin C Brown, P O Box 3165, Harrisburg, PA 17105 |
| Connecticut Business Registrations | RITE AID PHARMACY OF NAUGATUCK VALLEY MALL, INC. | Franklin C Brown, P O Box 3165, Harrisburg, PA 17105 |
| Connecticut Business Registrations | RITE AID PHARMACY OF WALLINGFORD, INC. | P O Box 3165, Harrisburg, PA 17105 |
| Connecticut Business Registrations | RITE AID PHARMACY OF WATERTOWN, INC. | Franklin C Brown, P O Box 3156, Harrisburg, PA 17105 |
| Street Address |
2141 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724731 | Felicia Sherry Bracey | Pharmacist | 2141 S Crater Rd, Petersburg, VA 23805-2701 | 2016-12-08 |
| 1851681654 | Barry J Rittmann | Pharmacist | 2141 S Crater Rd, Petersburg, VA 23805-2701 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997850 | Kim Porter | Pharmacist | 1522 Main Street, Petersburg, TX 79250 | 2019-11-20 |
| 1659815322 | Mark Saville | Pharmacist | 86 Saullie Evans Dr, Petersburg, WV 26847-7014 | 2016-12-14 |
| 1851729495 | Fontellia Yates | Pharmacist | 1026 Dakar Dr, Petersburg, VA 23803-4804 | 2013-10-16 |
| 1881937761 | Catherine Kowalski | Pharmacist | 215 North Nordic Drive, Petersburg, AK 99833-1209 | 2013-03-29 |
| 1619247152 | Tina Stoll Graham | Pharmacist | 3280 S Crater Rd, Petersburg, VA 23805-9217 | 2011-12-30 |
| 1427356807 | Sharon Easton Kannegieter | Pharmacist | 4310 Westgate Rd, Petersburg, VA 23803-6571 | 2011-03-08 |
| 1912119868 | Michael Lamar Dupree | Pharmacist | Fcc Petersburg Medium Attn Pharmacy Svc, 1060 River Road Box 90042, Petersburg, VA 23804 | 2007-05-04 |
| 1275656738 | Elizabeth Mitchell Smith | Pharmacist | 3330 S Crater Rd, Petersburg, VA 23805-9277 | 2007-04-09 |
| 1104946342 | Erica Worhatch | Pharmacist | 215 North Nordic Dr, Petersburg, AK 99833 | 2007-03-30 |
| 1396880738 | John Edward Wall | Pharmacist | 26317 W. Washington Street Extended, Petersburg, VA 23803-0030 | 2007-02-21 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.