Provider Demographics
NPI:1811239056
Name:RITECHOICE PHARMACY INC
Entity Type:Organization
Organization Name:RITECHOICE PHARMACY INC
Other - Org Name:RITECHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACCAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-996-6660
Mailing Address - Street 1:PO BOX 3704
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-0704
Mailing Address - Country:US
Mailing Address - Phone:215-500-2223
Mailing Address - Fax:267-392-6187
Practice Address - Street 1:6328 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2322
Practice Address - Country:US
Practice Address - Phone:215-727-7700
Practice Address - Fax:267-292-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP482378332B00000X, 3336C0002X, 3336C0003X, 3336S0011X
333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102805325 0001Medicaid
2139589OtherPK