RITE AID PHARMACY 02674
NPI 1740399070
Pharmacy - Community/Retail Pharmacy in Brockport, NY

Active since August 30, 2006
73 NORTH MAIN STREET, BIG M SHOPPING CENTER, BROCKPORT, NY 14420(585) 637-1151 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About RITE AID PHARMACY 02674

This page provides the complete NPI Profile along with additional information for Rite Aid Pharmacy 02674, a provider established in Brockport, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1740399070 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 020938 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Rite Aid Pharmacy 02674. The authorized official of this NPI record is Jennifer Zorek (Manager Online Adjudication)

NPI
1740399070 Verify this NPI
Provider Legal Name
RITE AID OF NEW YORK INC
Other Organization Name
RITE AID PHARMACY 02674
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
73 NORTH MAIN STREET BIG M SHOPPING CENTER BROCKPORT, NY 14420
Location Phone
(585) 637-1151
Mailing Address
200 NEWBERRY COMMONS ETTERS, PA 17319
Mailing Phone
(717) 761-2633
Mailing Fax
(717) 975-8659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
12-29-2011
Code Navigator



Rite Aid Pharmacy 02674 is a medicare supplier with PTAN 20604011 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 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.
020938
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)
1332B00000XSuppliers

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER ZOREK

Authorized Official Title
MANAGER ONLINE ADJUDICATION
Authorized Official Phone
(717) 975-5937

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
3398511OTHER (01)OTHER ID NUMBER
01259003MEDICAID (05)NY 
5405340344MEDICARE NSC (07) 
P00948035MEDICARE PIN (08)NY 
J300029967MEDICARE PIN (08)NY 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20604011
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
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Reviews for RITE AID PHARMACY 02674

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740399070, enumerated as an "organization" on August 30, 2006.

The provider is located at 73 NORTH MAIN STREET BIG M SHOPPING CENTER BROCKPORT, NY 14420 and the phone number is (585) 637-1151.

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.