Rite Aid Pharmacy 10658
LBN: Genovese Drug Stores Inc
Rite Aid Pharmacy 10658 is an health care organization with primary practice located at 593 Old Town Road , Port Jefferson Station NY 11776-4244. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Genovese Drug Stores Inc can be contacted via phone (631) 473-4500, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
593 Old Town Road
Port Jefferson Station NY 11776-4244
Phone: (631) 473-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 014516 | New York |
Profile Details
| NPI number | 1912006248 |
|---|---|
| LBN Legal business name | Genovese Drug Stores Inc |
| DBA Doing business as | Rite Aid Pharmacy 10658 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 5th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912006248 | NPPES |
| New York | MEDICAID | 00351157 | |
| New York | Other | 3308954 |
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