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	012622	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3315923	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1992815807
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	:	1000 CLINTON AVENUE NORTH
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-4526
Country	:	US
Telephone Number	:	585-544-8210
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/28/2011

Similar Medicare Providers

1043490105 — JOEL D BOLIVER RPH
Practice Location Address:

1000 CLINTON AVE N
ROCHESTER, NY
14621-4526

Practice Phone: 585-544-8210
Practice Fax:

1821378852 — DR. STEVEN DUVALL PHARM.D.
Practice Location Address:

1000 N CLINTON AVE
ROCHESTER, NY
14621-4526

Practice Phone: 585-544-8210
Practice Fax:

1346765948 — WALGREEN CO
Practice Location Address:

1000 N CLINTON AVE
ROCHESTER, NY
14621-4526

Practice Phone: 585-544-8210
Practice Fax: 585-544-6939

1477281855 — JONATHAN KOSHY
Practice Location Address:

1000 N CLINTON AVE
ROCHESTER, NY
14621-4526

Practice Phone: 585-544-8210
Practice Fax:

1568566321 — CVS ALBANY LLC
Practice Location Address:

2580 E HENRIETTA RD
ROCHESTER, NY
14623-4526

Practice Phone: 585-321-2581
Practice Fax:

1295913911 — MRS. AMELIA LOUISE BURKE RPH
Practice Location Address:

2580 E HENRIETTA RD
ROCHESTER, NY
14623-4526

Practice Phone: 585-321-2581
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.