MEDICARE: RITE AID OF PENNSYLVANIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PP414374L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3960932	OTHER	OTHER ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548359292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE AID OF PENNSYLVANIA LLC

Provider Business Mailing Address
First Line	:	200 NEWBERRY COMMONS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	847 MIDLAND AVENUE
Second Line	:
City	:	MIDLAND
State	:	PA
Zip	:	15059-1511
Country	:	US
Telephone Number	:	724-643-6520
Fax Number	:

Authorized Official
Title or Position	:	MANAGER ONLINE ADJUDICATION
Name	:	JENNIFER ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/29/2020

Similar Medicare Providers

1801142419 — DR. DANIEL ANTHONY PERRY PHARMD, RPH
Practice Location Address:

847 MIDLAND AVE
MIDLAND, PA
15059-1511

Practice Phone: 724-643-6520
Practice Fax: 724-643-2665

1053861732 — ALLYSON NICOLA PHARMD
Practice Location Address:

847 MIDLAND AVE
MIDLAND, PA
15059-1511

Practice Phone: 724-643-6520
Practice Fax:

1912493537 — DR. ERIC KAUPINIS PHARMD
Practice Location Address:

847 MIDLAND AVE
MIDLAND, PA
15059-1511

Practice Phone: 724-643-6520
Practice Fax: 724-643-2665

1881680643 — MS. ROSEMARIE ANN COLATRIANO L.C.S.W.
Practice Location Address:

838 MIDLAND AVE
MIDLAND, PA
15059-1512

Practice Phone: 724-508-0166
Practice Fax: 724-508-0166

1639284250 — CHERYL A HERMAN PA-C
Practice Location Address:

21 7TH ST
MIDLAND, PA
15059-1452

Practice Phone: 724-643-4852
Practice Fax: 724-643-6549

1336210418 — ASSOCIATED DENTAL BILLING SERVICES, INC
Practice Location Address:

527 MIDLAND AVE
MIDLAND, PA
15059-1312

Practice Phone: 724-643-5923
Practice Fax: 239-337-1400

Directions to “RITE AID OF PENNSYLVANIA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.