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RITE AID #17049
NPI 1043735517
Pharmacy in Slidell, LA

Active since August 07, 2017CLIA 19D2220408 · Waiver
2090 GAUSE BLVD E, SLIDELL, LA 70461(985) 641-3847(985) 639-9835 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rite Aid #17049 NPPES

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

RITE AID #17049 (NPI 1043735517) is a healthcare organization registered as a pharmacy in Slidell, Louisiana and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Alan Nielsen, Ass Treasure, as its authorized official.

NPPES Registry Identity

NPI1043735517
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2090 GAUSE BLVD ESlidell, LA 70461-5431
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(985) 641-3847
Fax(985) 639-9835
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenAss Treasure · (847) 315-3523
Enumeration DateAugust 7, 2017
✔ NPI 1043735517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
2090 GAUSE BLVD E, Slidell, LA 70461
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Other Names 1

Doing Business AsRite Aid #17049

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 19D2220408

Walgreens #04290 · Slidell, LA
Active · expires Apr 11, 2027
CLIA Number19D2220408
Laboratory TypePharmacy
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorBenjamin Gandolfi
Laboratory Phone(985) 645-0488
Laboratory LocationWalgreens #04290100 N Military Rd, Slidell, LA 70461
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 6

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

JENNY T PERINO
Pharmacist
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847
ARIYAN FRAZIER
Pharmacist
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847
THAO TAM NGUYEN
Pharmacist
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847
WALGREEN CO
Pharmacy
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847
MRS. BARBARA HAZELBAKER PHILLIPS RPH.
Pharmacist
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847
MONGTRUC HOANG PHARM D.
Pharmacist
2090 GAUSE BLVD E
SLIDELL, LA 70461
St. Tammany Parish (985) 641-3847

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 1043735517. It was assigned to this organization in the NPPES registry on August 7, 2017. The provider is doing business as Rite Aid #17049.

Where is Walgreen Co located?

Walgreen Co is located at 2090 Gause Blvd E, Slidell, LA 70461. The listed phone number is (985) 641-3847.

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 19D2220408) is associated with this NPI, valid through April 11, 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 August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.