Active NPI
Walgreen Co
Doing business as Rite Aid #20402
- Pharmacy
- Tinton Falls, NJ
National Provider Identifier
1245755032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WALGREEN CO
- Doing business as
- Rite Aid #20402
- Practice address
- 596 Shrewsbury Ave
Tinton Falls, NJ 07701-4909 - Phone
- (732) 741-7904
- Fax
- (732) 741-2952
- NPI assigned
- Aug 14, 2017
- Last updated
- Aug 18, 2017
- Organization subpart
- Yes
- Parent organization
- WALGREENS BOOTS ALLIANCE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Nielsen
- Title
- Asst Treasurer
- Phone
- (847) 315-3523
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
596 Shrewsbury Ave
Tinton Falls, NJ 07701-4909
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other names 1
- RITE AID #20402
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503014400000",
"number": "1245755032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST # MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "217-709-2386",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 SHREWSBURY AVE",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014909",
"telephone_number": "732-741-7904",
"fax_number": "732-741-2952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2017-08-14",
"last_updated": "2017-08-18",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "ASST TREASURER",
"authorized_official_telephone_number": "847-315-3523"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID #20402",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RITE AID #20402",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.