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	022155	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3348201	OTHER		OTHER ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962511428
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	:	1111 PENNSYLVANIA AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-9064
Country	:	US
Telephone Number	:	718-272-0346
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

1568645406 — ROSE YANICK MONDESIR
Practice Location Address:

1111 PENNSYLVANIA AVE
BROOKLYN, NY
11207-9064

Practice Phone: 718-272-0346
Practice Fax:

1487376034 — ERIK ARNOLD
Practice Location Address:

2581 ATLANTIC AVE
BROOKLYN, NY
11207-2412

Practice Phone: 718-495-6700
Practice Fax:

1790631000 — EMBRACE POSSIBILITIES COUNSELING LCSW
Practice Location Address:

632 VERMONT ST
BROOKLYN, NY
11207-5872

Practice Phone: 917-846-1341
Practice Fax: 929-290-0328

1447107495 — NYIDA FARRELL
Practice Location Address:

1011 WARWICK ST
BROOKLYN, NY
11207-8905

Practice Phone: 718-648-8804
Practice Fax:

1720935661 — KATHERINE FLAHERTY IBCLC
Practice Location Address:

856 KNICKERBOCKER AVE APT 2R
BROOKLYN, NY
11207-9335

Practice Phone: 802-777-9590
Practice Fax:

1235086794 — TENACIA MORRISEY
Practice Location Address:

2840 ATLANTIC AVE
BROOKLYN, NY
11207-2635

Practice Phone: 201-667-5523
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.