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	PP414836L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3967669	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	:	1932299955
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	:	580 CARBONDALE ROAD
Second Line	:
City	:	SCOTT T OWNSHIP
State	:	PA
Zip	:	18447-7715
Country	:	US
Telephone Number	:	570-586-2749
Fax Number	:

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/13/2020

Similar Medicare Providers

1124318407 — ERICK PAUL KNIGHT
Practice Location Address:

580 CARBONDALE RD
SCOTT TOWNSHIP, PA
18447-7715

Practice Phone: 570-586-2749
Practice Fax:

1861782872 — BRUCE A BIANCARELLI
Practice Location Address:

580 CARBONDALE RD
SCOTT TOWNSHIP, PA
18447-7715

Practice Phone: 570-586-2749
Practice Fax: 570-586-1759

1609229186 — ERIN TIMLIN PHARMD
Practice Location Address:

580 CARBONDALE RD
SCOTT TOWNSHIP, PA
18447-7715

Practice Phone: 570-586-2749
Practice Fax:

1659938801 — SARA BELLANCO
Practice Location Address:

580 CARBONDALE RD
SCOTT TWP, PA
18447-7715

Practice Phone: 570-586-2749
Practice Fax:

1679434732 — MADISON MACKNOSKY PA-C
Practice Location Address:

50 WHITE TAIL LN
SCOTT TOWNSHIP, PA
18447-7673

Practice Phone: 570-241-8168
Practice Fax:

1508892753 — SCOTT TOWNSHIP HOSE COMPANY
Practice Location Address:

1027 MONTDALE ROAD
SCOTT TOWNSHIP, PA
18447-9785

Practice Phone: 570-254-6666
Practice Fax: 570-254-6138

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.