RITE AID PHARMACY 04846
NPI 1770692287
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

NPI Status: Active since August 29, 2006

Contact Information

559 563 FULTON STREET
BROOKLYN, NY
ZIP 11201
Phone: (718) 643-3570

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 33D2294955
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-26-2027

About RITE AID PHARMACY 04846

This page provides the complete NPI Profile along with additional information for Rite Aid Pharmacy 04846, a provider established in Brooklyn, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1770692287 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 022598 (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 04846. The authorized official of this NPI record is Jennifer Zorek (Manager Online Adjudication)

NPI
1770692287
Provider Legal Name
RITE AID OF NEW YORK INC
Other Organization Name
RITE AID PHARMACY 04846
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
559 563 FULTON STREET BROOKLYN, NY 11201
Location Phone
(718) 643-3570
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
10-07-2011
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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.
022598
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
P00946888MEDICARE PIN (08)NY 
3305681OTHER (01)OTHER ID NUMBER
A300030088MEDICARE PIN (08)NY 
5405340170MEDICARE NSC (07) 
01562234MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2294955
Facility Type
Pharmacy
Certificate Effective Date
December 04, 2023
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. THOMAS C. GIGLIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rite Aid Pharmacy 04846 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770692287, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 4 + 2 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770692287.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770692287, enumerated as an "organization" on August 29, 2006.

The provider is located at 559 563 FULTON STREET BROOKLYN, NY 11201 and the phone number is (718) 643-3570.

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.