DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RITE AID OF PENNSYLVANIA LLC

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
1332B00000XDurable Medical Equipment & Medical SuppliesPP414390LPA
23336C0003XCommunity/Retail PharmacyPP414390LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23961150OTHEROTHER ID NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457440109
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 : 6101 NORTH BROAD STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-1931
Country : US
Telephone Number : 215-924-9645
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 : 08/12/2020

Similar Medicare Providers

1407230261 — MRS. KAVITHA RANI TIRUNAGARI NP
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-623-1834
Practice Fax: 888-355-7004
1184941312 — RAPHAEL SIDIM UN RPH
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-924-9645
Practice Fax: 215-924-0547
1750697066 — TUYEN THE NGUYEN RPH
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-924-9645
Practice Fax: 215-924-0547
1215371109 — KRUPA DAVE PHARMD
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-924-9645
Practice Fax:
1386092518 — BRYANT FOX PHARMD
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-924-9645
Practice Fax: 215-924-0547
1164045720 — VINH NGUYEN MD
Practice Location Address:
6101 N BROAD ST
PHILADELPHIA, PA
19141-1931
Practice Phone: 215-623-1834
Practice Fax: 888-355-7004

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.