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Export Provider Record NPI 1063521375
Rite Aid Of New York Inc
Organization Subpart: NO
Active
NPI Number1063521375
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1063521375
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-08-30
Last Updated2011-12-29
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 Address731 Center Street
Lewiston, NY 14092-1705
United States
Phone: (716) 754-9201
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY00860577
Other (non-Medicare)3381035Other ID Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNY018342
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About NPI 1063521375

Rite Aid Of New York Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063521375. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Lewiston, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063521375?

NPI 1063521375 belongs to Rite Aid Of New York Inc, a Pharmacy, Community/Retail Pharmacy in Lewiston, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063521375 active?

The current status of NPI 1063521375 in the NPPES registry is Active. The record was last updated on 2011-12-29.

What specialty is NPI 1063521375?

NPI 1063521375 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 1063521375?

You can verify NPI 1063521375 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 1063521375?

The primary practice address on file for NPI 1063521375 is 731 Center Street, Lewiston, NY 14092-1705. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063521375 issued?

NPI 1063521375 was first issued (enumerated) on 2006-08-30. The NPPES record was last updated on 2011-12-29.

Practice Location Map

Rite Aid Of New York Inc is located at 731 Center Street, Lewiston, NY. Use the map below to find directions or verify the practice location.

📍 731 Center Street, Lewiston, NY 14092-1705  ·  Open in Google Maps ↗

Related Healthcare Providers

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

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063521375. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy018342NY
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162