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	PP411404L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3948443	OTHER	OTHER ID NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437248184
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	:	327 NORTH CHESTER PIKE
Second Line	:
City	:	GLENOLDEN
State	:	PA
Zip	:	19036-1426
Country	:	US
Telephone Number	:	610-583-8600
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	:	08/07/2020

Similar Medicare Providers

1881902724 — MR. HOWARD R SANDLER B.A.,B.S.
Practice Location Address:

327 N CHESTER PIKE
GLENOLDEN, PA
19036-1426

Practice Phone: 610-583-8600
Practice Fax:

1770420903 — MS. CHINMAYEE PATEL RD,LDN
Practice Location Address:

101 E GLENOLDEN AVE APT 202
GLENOLDEN, PA
19036-2156

Practice Phone: 610-592-7082
Practice Fax:

1205838463 — WILLIAM T INGRAM DO
Practice Location Address:

901 W ASHLAND AVE
GLENOLDEN, PA
19036-1101

Practice Phone: 610-461-6450
Practice Fax: 610-461-1842

1760456826 — DR. BILL J PAVLOU MD
Practice Location Address:

901 W. ASHLAND AVE.
GLENOLDEN, PA
19036

Practice Phone: 484-494-5604
Practice Fax: 610-461-7423

1043262108 — INTERBORO SCHOOL DISTRICT
Practice Location Address:

200 SOUTH MACDADE BLVD
GLENOLDEN, PA
19036

Practice Phone: 610-461-6700
Practice Fax:

1114972643 — THOMAS KIGER PT
Practice Location Address:

901 W ASHLAND AVE
GLENOLDEN, PA
19036-1101

Practice Phone: 610-461-6450
Practice Fax: 610-461-0142

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.