Active NPI
Walgreen Co
Doing business as Rite Aid #18077
- Pharmacy
- Ellicott City, MD
National Provider Identifier
1952825622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WALGREEN CO
- Doing business as
- Rite Aid #18077
Rite Aid #20934 - Practice address
- 8601 Baltimore National Pike
Ellicott City, MD 21043-4176 - Phone
- (410) 480-1377
- Fax
- (410) 480-3927
- NPI assigned
- Aug 3, 2017
- Last updated
- Aug 10, 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
- Mr. Alan Nielsen
- Title
- Assistant 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
8601 Baltimore National Pike
Ellicott City, MD 21043-4176
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other names 2
- Rite Aid #18077
- Rite Aid #20934
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 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
8601 Baltimore National Pike
Ellicott City, MD 21043
Phone (410) 480-1377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502323200000",
"number": "1952825622",
"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": "8601 BALTIMORE NATIONAL PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434176",
"telephone_number": "410-480-1377",
"fax_number": "410-480-3927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-10",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "ASSISTANT TREASURER",
"authorized_official_telephone_number": "847-315-3523",
"authorized_official_name_prefix": "Mr."
},
"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 #18077",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rite Aid #20934",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellicott City, MD
- Michael Lauren Vostal
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2412)
- Wal-Mart Stores East, LP (Vision Center 30-2412)
- Walgreen Co (Walgreens #15553)
- Walgreen Co (Walgreens #17905)
- Walgreen Co. (Walgreens #15553)
- Luke Matthew Walker, NP
- Anne McCauley Waller, LCSW-C, MSW
- Tasha Walls, LGSW
- Bryan Walsh, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.