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Export Provider Record NPI 1063501799
Rite Aid Of Pennsylvania Llc
Organization Subpart: NO
Active
NPI Number1063501799
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1063501799
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-10-12
Last Updated2020-08-06
Authorized OfficialJennifer Zorek
MANAGER ONLINE ADJUDICATION
Phone: 7179755937
Mailing Address200 Newberry Commons
Etters, PA 17319-9363
United States
Phone: (717) 761-2633 | Fax: (717) 975-8659
📍 View Map
Primary Practice Address6401 Oxford Avenue
Philadelphia, PA 19111-5400
United States
Phone: (215) 745-2557
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)PA1007292980895Medicaid DME
MEDICAIDPA1007292980895
Other (non-Medicare)3908362Other ID Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes3336C0003X – Pharmacy, Community/Retail PharmacyPAPP413496L
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About NPI 1063501799

Rite Aid Of Pennsylvania Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063501799. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Philadelphia, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063501799?

NPI 1063501799 belongs to Rite Aid Of Pennsylvania Llc, a Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063501799 active?

The current status of NPI 1063501799 in the NPPES registry is Active. The record was last updated on 2020-08-06.

What specialty is NPI 1063501799?

NPI 1063501799 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063501799?

You can verify NPI 1063501799 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063501799?

The primary practice address on file for NPI 1063501799 is 6401 Oxford Avenue, Philadelphia, PA 19111-5400. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063501799 issued?

NPI 1063501799 was first issued (enumerated) on 2006-10-12. The NPPES record was last updated on 2020-08-06.

Practice Location Map

Rite Aid Of Pennsylvania Llc is located at 6401 Oxford Avenue, Philadelphia, PA. Use the map below to find directions or verify the practice location.

📍 6401 Oxford Avenue, Philadelphia, PA 19111-5400  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Rite Aid Of Pennsylvania Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063501799. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPP413496LPA
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162