RITE AID PHARMACY 00742
NPI 1255420980
Pharmacy - Community/Retail Pharmacy in Port Jervis, NY

Active since October 12, 2006
76 PIKE STREET, PORT JERVIS, NY 12771(845) 856-8342 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rite Aid Pharmacy 00742 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RITE AID PHARMACY 00742 (NPI 1255420980) is a healthcare organization registered as a community/retail pharmacy in Port Jervis, New York and active in the NPI registry since October 2006. The organization lists Jennifer Zorek, Sr Manager Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1255420980
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRITE AID OF NEW YORK INC
Location Address76 PIKE STREETPort Jervis, NY 12771-2414
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Organization SubpartNo
Authorized OfficialJennifer ZorekSr Manager Provider Enrollment · (717) 975-5937
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 28, 2014
NPI 1255420980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 030904
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
76 PIKE STREET, Port Jervis, NY 12771

Other Names 1

Doing Business AsRite Aid Pharmacy 00742

Other Identifiers 6

Other3316242Other Id Number
Other1007631000017PA · Pa Medicaid
Medicare NSC5405340045
Medicaid00315875NY
Medicare PINP00946888NY
Medicare PINA300030088NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rite Aid Of New York Inc's NPI number?

The NPI number for Rite Aid Of New York Inc is 1255420980. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Rite Aid Pharmacy 00742.

Where is Rite Aid Of New York Inc located?

Rite Aid Of New York Inc is located at 76 Pike Street, Port Jervis, NY 12771. The listed phone number is (845) 856-8342.

What is Rite Aid Of New York Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Rite Aid Of New York Inc was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.