RITE AID OF MARYLAND INC (RITE AID PHARMACY 01721) - NPI NUMBER 1003925470

Summary

Provider Name: RITE AID OF MARYLAND INC (RITE AID PHARMACY 01721)

NPI Number: 1003925470

Clasification: Durable Medical Equipment & Medical Supplies (332B00000X)

Address:
6622-24 SECURITY BOULEVARD
MEADOWS SHOPPING CENTER
BALTIMORE, MD
ZIP 21207

Phone Number: (410) 944-6611



Detailed Information

RITE AID OF MARYLAND INC is a durable medical equipment & medical supplies in Baltimore, MD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient�s use in the home and that are usable for an extended period of time. The assigned NPI number for this provider is 1003925470 and is registered as an organization entity type.
The provider Is Doing Business As Rite Aid Pharmacy 01721.

The provider's business address is:

6622-24 SECURITY BOULEVARD
MEADOWS SHOPPING CENTER
BALTIMORE, MD
ZIP 21207-010
Phone: (410) 944-6611

The provider's authorized official is Jennifer Zorek .
The authorized official title is Manager Online Adjudication and has the following contact phone number (717) 975-5937.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/8/2011.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1033488705 WALGREEN CO
Durable Medical Equipment & Medical Supplies
1003063736 ALL STAFFING MEDICAL EQUIPMENT
Durable Medical Equipment & Medical Supplies
1033462759 PROFESSIONAL RESPIRATORY HOMECARE SERVICES, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1043489693 D & J SALES COMPANY LLC
Durable Medical Equipment & Medical Supplies
1033229711 RITE AID OF MARYLAND INC
Durable Medical Equipment & Medical Supplies
1043225220 WALGREEN CO
Durable Medical Equipment & Medical Supplies
1023129616 HMIS, INC.
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 332B00000X Durable Medical Equipment & Medical Supplies No
2 3336C0003X Pharmacy Community/Retail Pharmacy PO1253 MD Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 170747 MEDICARE PIN MD
2 401088400 OTHER MD MEDICAID DME
3 P00941515 MEDICARE PIN MD
4 401092200 MEDICAID MD
5 2113962 OTHER OTHER ID NUMBER COMMERCIAL NUMBER
6 5632580030 MEDICARE NSC

NPI Record

No. Field Name Field Value
1 NPI 1003925470
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name RITE AID OF MARYLAND INC
5 Provider Other Organization Name RITE AID PHARMACY 01721
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 6622-24 SECURITY BOULEVARD
8 Provider Second Line Business Practice Location Address MEADOWS SHOPPING CENTER
9 Provider Business Practice Location Address City Name BALTIMORE
10 Provider Business Practice Location Address State Name MD
11 Provider Business Practice Location Address Postal Code 212074010
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4109446611
14 Provider Enumeration Date 8/30/2006
15 Last Update Date 9/8/2011
16 Authorized Official Last Name ZOREK
17 Authorized Official First Name JENNIFER
18 Authorized Official Title or Position MANAGER ONLINE ADJUDICATION
19 Authorized Official Telephone Number 7179755937
20 Healthcare Provider Taxonomy Code 1 332B00000X
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 3336C0003X
23 Provider License Number 2 PO1253
24 Provider License Number State Code 2 MD
25 Healthcare Provider Primary Taxonomy Switch 2 Y
26 Other Provider Identifier 1 170747
27 Other Provider Identifier Type Code 1 08
28 Other Provider Identifier State 1 MD
29 Other Provider Identifier 2 401088400
30 Other Provider Identifier Type Code 2 01
31 Other Provider Identifier State 2 MD
32 Other Provider Identifier Issuer 2 MEDICAID DME
33 Other Provider Identifier 3 P00941515
34 Other Provider Identifier Type Code 3 08
35 Other Provider Identifier State 3 MD
36 Other Provider Identifier 4 401092200
37 Other Provider Identifier Type Code 4 05
38 Other Provider Identifier State 4 MD
39 Other Provider Identifier 5 2113962
40 Other Provider Identifier Type Code 5 01
41 Other Provider Identifier Issuer 5 OTHER ID NUMBER COMMERCIAL NUMBER
42 Other Provider Identifier 6 5632580030
43 Other Provider Identifier Type Code 6 07
44 Is Organization Subpart N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.