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Contact Information

RITE AID OF NEW YORK INC
2463 US ROUTE 9 WEST
RAVENA, NY12143
 Phone: 518-756-6131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for RITE AID OF NEW YORK INC

NPI Number 1619086006
LBN Legal business name RITE AID OF NEW YORK INC
Authorized official JENNIFER ZOREK - (MANAGER ONLINE ADJUDICATION)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 01/04/2012 - About 14 years ago
Identifiers
NY License # 023280
NY Medicaid 01763533
Other 3319539 OTHER ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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