Active NPI
Walgreen Co
Doing business as Rite Aid
- Pharmacy
- Brooklyn, NY
National Provider Identifier
1932623915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WALGREEN CO
- Doing business as
- Rite Aid
Rite Aid #19151 - Practice address
- 1679 Bedford Ave
Brooklyn, NY 11225-2601 - Phone
- (718) 282-7476
- Fax
- (718) 282-0738
- NPI assigned
- Aug 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1679 Bedford Ave
Brooklyn, NY 11225-2601
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other names 2
- RITE AID
- Rite Aid #19151
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.
Locations
1679 Bedford Ave
Brooklyn, NY 11225
Phone (718) 282-7476
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacist
- Syosset, NY
- NPI 1346619889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506297600000",
"number": "1932623915",
"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": "1679 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112252601",
"telephone_number": "718-282-7476",
"fax_number": "718-282-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2017-08-01",
"last_updated": "2017-09-25",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rite Aid #19151",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.