RITE AID#19000 – NPI #1114442431
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

RITE AID#19000 is a pharmacy located in DEXTER, ME. NPPES has assigned the NPI number 1114442431 to RITE AID#19000 on August 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RITE AID#19000” is a dba name, the actual legal business name for this organization is WALGREEN CO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 7 years ago on Jun 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RITE AID#19000 below.

NPI Profile for
WALGREEN CO

NPI Number
1114442431
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALGREEN CO
Doing Business As (dba): RITE AID#19000
Primary location
188 SPRING ST
DEXTER, ME 04930-1529
Phone: (207) 924-7000 Fax: (207) 924-3078
Mailing address
1901 E VOORHEES ST # MS 790
DANVILLE, IL 61834-4509
Phone: (217) 709-2386 Fax: (217) 709-2344
Organization Subpart
Yes - RITE AID#19000 is subpart of another organization.
Authorized Official
ALYSSA SWEETEN
MANAGER
Phone: (217) 709-2386
Updated
Identifiers

Identifiers for RITE AID#19000

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBOARD OF PHARMACYMEPH50001577
MEDICAIDME1114442431
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.