OrganizationRite Aid Of New Jersey Inc(<Unavail>)PharmacySuppliersPractice Address2859 61 Kennedy Boulevard, Jersey City, NJ 07306-3901(201) 433-2826(717) 761-2633PECOS EnrollmentBased on the most recent information from CMS, provider Rite Aid Of New Jersey Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467561803Provider TypeOrganizationFull NameRite Aid Of New Jersey IncOther Name<Unavail>SubpartNoEnumeration Date8/30/2006Last Updated8/22/2011Contact InformationPractice LocationPractice Address2859 61 Kennedy Boulevard, Jersey City, NJ 07306-3901Phone(201) 433-2826FaxUnlisted FaxMailing LocationMailing Address200 Newberry Commons, Etters, PA 17319-9363Phone(717) 761-2633Fax(717) 975-8659Authorized OfficialNameZorek, Jennifer (Manager Online Adjudication)Phone(717) 975-5937Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseRSO3678New JerseyCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID3127099DescriptionOtherIssuerOTHER ID NUMBERID4365101DescriptionMedicaidIssuerUnlistedNew Jersey