National Provider Identifier

Rite Aid Of New York Inc

Rite Aid Of New York Inc is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 288-7600.

NPI 1902916810Rochester, NYCommunity/Retail Pharmacy

Profile Overview

NPI
1902916810
Provider Type
Organization
Primary Specialty
Community/Retail Pharmacy
Enumeration Date
August 30, 2006
Last Updated
December 28, 2011

Practice Location

  • 804 Goodman Street North
  • Rochester, NY 14609-4640

Phone: (585) 288-7600

Mailing Address

  • 200 Newberry Commons
  • Etters, PA 17319-9363

Specialties

  • Community/Retail Pharmacy (3336C0003X)
  • Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
NPI
1902916810
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Rite Aid Of New York Inc
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
200 Newberry Commons
Mailing City
Etters
Mailing State
PA
Mailing ZIP Code
17319-9363
Mailing Country
US
Mailing Phone
(717) 761-2633
Mailing Fax
(717) 975-8659
Practice Street Address
804 Goodman Street North
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4640
Practice Country
US
Practice Phone
(585) 288-7600
Enumeration Date
August 30, 2006
Last Updated
December 28, 2011
Authorized Official Last Name
Zorek
Authorized Official First Name
Jennifer
Authorized Official Title
Manager Online Adjudication
Authorized Official Phone
(717) 975-5937
Organization Subpart
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X)
Other Identifiers
3315846 (Other Id Number), 00472679 (NY)