RITE AID OF PENNSYLVANIA LLC (NPI# 1689764607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689764607 |
| Entity Type | Organization |
| Organization Name | RITE AID OF PENNSYLVANIA LLC |
| Other Organization Name | RITE AID PHARMACY 04676 |
| Practice Address |
407 Central Avenue Johnstown PA 15902-2502 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8145367596 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-17 |
| 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 |
PP410591L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID DME | 1007292980677 | 01 |
| PA | 1007292980677 | 05 | |
| OTHER ID NUMBER | 3971795 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04676 | Doing Business As Name - Organization |
| 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 |
| Street Address |
407 CENTRAL AVENUE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15902-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627805 | Brad Griesheimer | Counselor | 1086 Bedford St, Johnstown, PA 15902 | 2020-01-06 |
| 1518261072 | Cathy R Hunter | Counselor | 311 Saipan Ave, Johnstown, PA 15902-1067 | 2010-12-27 |
| 1194101998 | Vanessa I Orris | Midwife, Lay | 1125 Cushon St, Johnstown, PA 15902-1149 | 2015-08-04 |
| 1538126073 | Conemaugh Valley School District | Local Education Agency (LEA) | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2006-04-27 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1568787307 | Kimberly Lee Balamuta | Registered Nurse | 32 Reed Ct, Johnstown, PA 15902-1331 | 2010-04-05 |
| 1376090753 | Elizabeth Chobany | Specialist/Technologist | 689 Messenger St, Johnstown, PA 15902-1709 | 2016-09-02 |
| 1396084117 | Donna M Barber | Adult Companion | 519 Ash St, Johnstown, PA 15902-2021 | 2013-02-14 |
| 1174500326 | Seventh Ward Civic Association | Ambulance | 404 Cedar St, Johnstown, PA 15902-2022 | 2005-12-29 |
| 1316461288 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 220 Messenger St, Johnstown, PA 15902-2125 | 2017-08-01 |
| Find all providers in zip 15902 | ||||
| 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 |
|---|---|---|---|---|
| 1114180585 | Friendly City Pharmacy, Inc | Pharmacy | 81 Osborne St, Johnstown, PA 15905-4130 | 2008-07-07 |
| 1053498923 | Pca Ventures of Colorado LLC | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2006-10-31 |
| 1386747111 | Ohio Cvs Stores LLC | Pharmacy | 797 W Coshocton St, Johnstown, OH 43031-9581 | 2006-09-07 |
| 1346255262 | Giant Eagle Inc | Pharmacy | 1451 Scalp Ave, Johnstown, PA 15904-3334 | 2006-07-29 |
| 1891700712 | Giant Eagle Inc | Pharmacy | 344 Goucher St, Johnstown, PA 15905-3423 | 2006-07-29 |
| 1528073442 | Giant Eagle Inc | Pharmacy | 1233 - 1245 Broad St, Johnstown, PA 15906-2440 | 2006-07-29 |
| 1306867122 | Martella's Pharmacy of Park Hill, LLC | Pharmacy | 1932 William Penn Ave, Johnstown, PA 15909-1637 | 2006-07-21 |
| 1184653164 | Professional Pharmacy Services Inc. | Pharmacy | 1 N Parish Ave, Johnstown, CO 80534-9095 | 2006-07-01 |
| 1578738597 | Professional Pharmacy Services | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2008-04-30 |
| 1841244704 | Angelo Friello Inc | Pharmacy | 2 E Main St, Johnstown, NY 12095-2623 | 2006-05-22 |
| Find all providers in JOHNSTOWN | ||||
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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.