RITE AID OF PENNSYLVANIA LLC


Address: 2131 59 North Broad Street, Philadelphia, PA 19122-1105
Phone: 2152362297

RITE AID OF PENNSYLVANIA LLC (NPI# 1588754501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588754501
Entity Type Organization
Organization Name RITE AID OF PENNSYLVANIA LLC
Other Organization Name RITE AID PHARMACY 01127
Practice Address 2131 59 North Broad Street
Philadelphia
PA 19122-1105
Mailing Address 200 Newberry Commons
Etters
PA 17319-9363
Practice Telephone 2152362297
Mailing Telephone 7177612633
Mailing Fax Number 7179758659
Enumeration Date 2006-10-13
Last Update Date 2020-04-06
Authorized Official Name JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
Authorized Official Telephone 7179755937
Is Organization Subpart N

Taxonomy

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
PP412998L PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007292980198 05
PA MEDICAID DME 1007292980198 01
OTHER ID NUMBER 3975298 01

Other Provider/Organization Names

Other Name Type Code
RITE AID PHARMACY 01127 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2131 59 NORTH BROAD STREET
City PHILADELPHIA
State PA
Zip Code 19122-1105

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NPI Name Taxonomy Address Enumeration
1033719919 Penn Diagnostic Co. Clinic/Center 2014 North 3rd St, Philadelphia, PA 19122 2020-10-29
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1891232716 Alexis Bender Specialist/Technologist 1801 Broad Street, Philadelphia, PA 19122 2017-01-30
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1104285519 Yi Liu Occupational Therapy Assistant 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 2016-02-12
1558754580 Icare Home Health LLC Home Health 1706 N. 2nd Street, R2, Philadelphia, PA 19122 2015-03-16
1912313347 Eve Peters Pharmacist 2131 North Broad Street, Philadelphia, PA 19122 2014-07-07
1356618003 Mohamed Alaoui Mdaghri Dentist 2017 N 2nd St, Philadelphia, PA 19122 2011-11-23
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241408 Roosevelt Pharmacy LLC Pharmacy 2600 Cottman Ave, Philadelphia, PA 19149-1301 2020-07-02
1295355428 Joe's Pharmacy Pharmacy 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 2020-04-17
1114559713 Broad and Snyder Pharmacy P C Pharmacy 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 2020-02-11
1194355172 Wyoming Pharmacy LLC Pharmacy 333 E Wyoming Ave, Philadelphia, PA 19120-4434 2020-01-18
1154951267 Nextdoor Community Pharmacy Inc Pharmacy 814 1/2 N 40th St, Philadelphia, PA 19104-4802 2020-01-17
1962048678 Capsule Philadelphia LLC Pharmacy 117 S 20th St, Philadelphia, PA 19103-4606 2019-11-18
1891330031 Penncare Pharmacy Pharmacy 416 Oak Ln, Philadelphia, PA 19126-3136 2019-11-12
1043871874 Ritechoice Pharmacy V, LLC Pharmacy 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 2019-06-24
1366000564 Allegheny Plaza Pharmacy Pharmacy 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 2019-06-03
1770146367 Medly Pharmacy Pa Inc. Pharmacy 1222 Walnut St, Philadelphia, PA 19107-5466 2019-04-18
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Competitor

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City PHILADELPHIA
Zip Code 19122

Improve Information

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Dataset Information

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.

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