RITE AID PHARMACY 00609
NPI 1639288194
Pharmacy - Community/Retail Pharmacy in Rome, NY
NPI Status: Active since August 29, 2006
Contact Information
1727 BLACK RIVER BOULEVARD
ROME, NY
ZIP 13440
Phone: (315) 336-8890
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
About RITE AID PHARMACY 00609
This page provides the complete NPI Profile along with additional information for Rite Aid Pharmacy 00609, a provider established in Rome, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1639288194 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 012654 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Rite Aid Pharmacy 00609. The authorized official of this NPI record is Jennifer Zorek (Manager Online Adjudication)
- NPI
- 1639288194
- Provider Legal Name
- RITE AID OF NEW YORK INC
- Other Organization Name
- RITE AID PHARMACY 00609
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1727 BLACK RIVER BOULEVARD ROME, NY 13440
- Location Phone
- (315) 336-8890
- Mailing Address
- 200 NEWBERRY COMMONS ETTERS, PA 17319
- Mailing Phone
- (717) 761-2633
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 12-28-2011
- Code Navigator
Rite Aid Pharmacy 00609 is a medicare supplier with PTAN 20556143 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 012654
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5405340049 | MEDICARE NSC (07) | ||
| 00584221 | MEDICAID (05) | NY | |
| J300029967 | MEDICARE PIN (08) | NY | |
| 3315733 | OTHER (01) | OTHER ID NUMBER | |
| P00948035 | MEDICARE PIN (08) | NY |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20556143
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 8 | 8 | 1 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 8 | 16 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 8 + 1 + 6 + 1 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639288194 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
SAMIR KHALDI
Pharmacist
1727 BLACK RIVER BOULEVARD
ROME, NY
ZIP 13440
NORENE RELYEA PFENDLER
Pharmacist
1727 BLACK RIVER BOULEVARD
ROME, NY
ZIP 13440
WALTER GUSTAV HAGUES RPH
Pharmacist
1727 BLACK RIVER BOULEVARD
ROME, NY
ZIP 13440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639288194, enumerated as an "organization" on August 29, 2006.
The provider is located at 1727 BLACK RIVER BOULEVARD ROME, NY 13440 and the phone number is (315) 336-8890.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
