MEDICARE: RITE AID OF NEW YORK INC

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	022083	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3345623	OTHER		OTHER ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326157884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE AID OF NEW YORK INC

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	:	1540 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-8400
Country	:	US
Telephone Number	:	718-731-8733
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	10/06/2011

Similar Medicare Providers

1326223918 — WON H SUH RPH
Practice Location Address:

1540 GRAND CONCOURSE
BRONX, NY
10457-8400

Practice Phone: 718-731-8733
Practice Fax: 718-731-8809

1801102728 — MILTIADIS APOTSOS
Practice Location Address:

1540 GRAND CONCOURSE
BRONX, NY
10457-8400

Practice Phone: 718-731-8733
Practice Fax: 718-731-5664

1548713886 — MS. APEXA PATEL PA, AT
Practice Location Address:

1532 GRAND CONCOURSE STE A
BRONX, NY
10457-8400

Practice Phone: 718-299-7295
Practice Fax: 718-299-6797

1407379282 — WALGREEN CO
Practice Location Address:

1540 GRAND CONCOURSE
BRONX, NY
10457-8400

Practice Phone: 718-731-8733
Practice Fax: 718-731-5664

1396256814 — NAOMI FRANCES AUSTIN
Practice Location Address:

1526 GRAND CONCOURSE
BRONX, NY
10457-8400

Practice Phone: 718-282-3425
Practice Fax:

1922510064 — ZULENNY SANCHEZ
Practice Location Address:

1526 GRAND CONCOURSE
BRONX, NY
10457-8400

Practice Phone: 718-282-3425
Practice Fax:

Directions to “RITE AID OF NEW YORK INC ” 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.