RITE AID #10629 – NPI #1477070373
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 #10629 is a pharmacy located in NORTH BELLMORE, NY. NPPES has assigned the NPI number 1477070373 to RITE AID #10629 on August 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RITE AID #10629” 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 8 years ago on Jul 24, 2018. 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 #10629 below.

NPI Profile for
WALGREEN CO

NPI Number
1477070373
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 #10629
Primary location
2815 JERUSALEM AVE
NORTH BELLMORE, NY 11710
Phone: (516) 826-3900 Fax: (516) 826-4788
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 #10629 is subpart of another organization.
Authorized Official
ALYSSA SWEETEN
MANAGER
Phone: (217) 709-2386
Updated
Identifiers

Identifiers for RITE AID #10629

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
OTHERNCPDPNY5824176
MEDICAIDNY05078340
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.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
NY 036409
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

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.