=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427361724
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RITE AID
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2010
-----------------------------------------------------
Last Update Date | 07/15/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 209 ATWOOD ST
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15213-4001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-621-4302
-----------------------------------------------------
Fax | 412-621-2777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5700 BUNKERHILL ST APT 506
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15206-1162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-512-0161
-----------------------------------------------------
Fax | 412-621-2777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST
-----------------------------------------------------
Name | MR. RAHUL ANAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-621-4302
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP440826
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------