OrganizationRite Aid Of New Jersey Inc(<Unavail>)PharmacySuppliersPractice Address981 West Side Avenue, Jersey City, NJ 07306-6903(201) 332-0410(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 ID1902916679Provider TypeOrganizationFull NameRite Aid Of New Jersey IncOther Name<Unavail>SubpartNoEnumeration Date8/30/2006Last Updated8/24/2011Contact InformationPractice LocationPractice Address981 West Side Avenue, Jersey City, NJ 07306-6903Phone(201) 332-0410FaxUnlisted FaxMailing LocationMailing Address200 Newberry Commons, Etters, PA 17319-9363Phone(717) 761-2633Fax(717) 975-8659Authorized OfficialNameZorek, Jennifer (Manager Online Adjudication)Phone(717) 975-5937Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseRSO5564New JerseyCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerNew JerseyProvider IdentifiersIDDescriptionIssuerID7478909DescriptionMedicaidIssuerUnlistedNew JerseyID3139424DescriptionOtherIssuerOTHER ID NUMBER