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RITE AID #11768
NPI 1043734684
Pharmacy in Jonesboro, GA

Active since July 26, 2017CLIA 11D2034348 · Waiver
1638 HIGHWAY 138 E, JONESBORO, GA 30236(770) 472-1205(770) 472-3886 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2018, Feb 19, 2018, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Rite Aid #11768 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RITE AID #11768 (NPI 1043734684) is a healthcare organization registered as a pharmacy in Jonesboro, Georgia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1043734684
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1638 HIGHWAY 138 EJonesboro, GA 30236-3800
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(770) 472-1205
Fax(770) 472-3886
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 26, 2017
Last NPPES UpdateApril 27, 20184 updates tracked since enumeration
✔ NPI 1043734684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE010604
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1638 HIGHWAY 138 E, Jonesboro, GA 30236
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Other Names 1

Doing Business AsRite Aid #11768

Other Identifiers 2

Other1171672GA · Ncpdp
Medicaid000757281AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2034348

Walgreens 09271 · Jonesboro, GA
Active · expires Aug 9, 2027
CLIA Number11D2034348
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorVincent O. Ajuzie
Laboratory Phone(678) 479-1976
Laboratory LocationWalgreens 092717935 Tara Blvd, Jonesboro, GA 30236
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHT AKPAKA
Pharmacist
1638 HIGHWAY 138 E
JONESBORO, GA 30236
Clayton County (770) 472-1205
MR. ANDREW O IGBOKWE
Pharmacist
1638 HIGHWAY 138 E
JONESBORO, GA 30236
Clayton County (770) 472-1205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1043734684. It was assigned to this organization in the NPPES registry on July 26, 2017. The provider is doing business as Rite Aid #11768.

Where is Walgreen Co located?

Walgreen Co is located at 1638 Highway 138 E, Jonesboro, GA 30236. The listed phone number is (770) 472-1205.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2034348) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.