Organization · Type 2 NPI

Rite Aid of Pennsylvania LLC

Community/Retail Pharmacy · Philadelphia, PA

NPI number 1114016854 Active

Practice location

11750 Bustleton Avenue
Philadelphia, PA 19116-2516

Call (215) 934-6221 Map

Mailing address

200 Newberry Commons
Etters, PA 17319-9363

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PP413455L (PA)

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 …

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NPI record

NPI: 1114016854
Entity type: Organization (Type 2)
Issued: Oct 12, 2006
Last updated: Aug 7, 2020
Status: Active

Other names

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Rite Aid Pharmacy 00852 · doing business as
Rite Aid Pharmacy 00852 · doing business as

Authorized official

Jennifer Zorek
Manager Online Adjudication
(717) 975-5937

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114016854

Rite Aid of Pennsylvania LLC's National Provider Identifier is 1114016854, issued on Oct 12, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 7, 2020.