| NPI | 1104935634 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-29 |
| Last Updated | 2011-10-06 |
| Authorized Official | Jennifer Zorek MANAGER ONLINE ADJUDICATION Phone: 7179755937 |
| Mailing Address | 200 Newberry Commons Etters, PA 17319-9363 United States Phone: (717) 761-2633 | Fax: (717) 975-8659 📍 View Map |
| Primary Practice Address | 4046 Broadway New York, NY 10032-1517 United States Phone: (212) 928-2550 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02050062 | — |
| Other (non-Medicare) | — | 3308461 | Other ID Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 024613 |
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About NPI 1104935634
Rite Aid Of New York Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104935634. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in New York, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104935634?
NPI 1104935634 belongs to Rite Aid Of New York Inc, a Pharmacy, Community/Retail Pharmacy in New York, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104935634 active?
The current status of NPI 1104935634 in the NPPES registry is Active. The record was last updated on 2011-10-06.
What specialty is NPI 1104935634?
NPI 1104935634 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 1104935634?
You can verify NPI 1104935634 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 1104935634?
The primary practice address on file for NPI 1104935634 is 4046 Broadway, New York, NY 10032-1517. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104935634 issued?
NPI 1104935634 was first issued (enumerated) on 2006-08-29. The NPPES record was last updated on 2011-10-06.
Practice Location Map
Rite Aid Of New York Inc is located at 4046 Broadway, New York, NY. Use the map below to find directions or verify the practice location.
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 1104935634. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 024613 | NY |