RITE AID #11726 – NPI #1538682141
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.

Health Care Provider Taxonomy Code for Pharmacy

RITE AID #11726 is a pharmacy located in TUCKER, GA. NPPES has assigned the NPI number 1538682141 to RITE AID #11726 on July 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RITE AID #11726” is a dba name, the actual legal business name for this organization is WALGREEN CO. This provider is also associated with 2 additional names listed below. 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 Aug 07, 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 #11726 below.

NPI Profile for
WALGREEN CO

NPI Number
1538682141
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 #11726
Other name(s)
All associated names:
Doing Business As (dba)
RITE AID #11726
Doing Business As (dba)
Rite Aid #17790
Primary location
4005 LAWRENCEVILLE HWY
TUCKER, GA 30084
Phone: (770) 934-3585 Fax: (770) 939-9130
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 #11726 is subpart of another organization.
Authorized Official
ALYSSA SWEETEN
MANAGER
Phone: (217) 709-2386
Updated
Identifiers

Identifiers for RITE AID #11726

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
OTHERNCPDPGA1170416
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)
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.