RITE AID #19053
NPI 1063936771
Pharmacy in Baltimore, MD

Active since August 03, 2017
1000 E EAGER ST, BALTIMORE, MD 21202(410) 502-8414(410) 522-9885 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy

About RITE AID #19053

This page provides the complete NPI Profile along with additional information for Rite Aid #19053, a provider established in Baltimore, Maryland operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1063936771 assigned on August 2017. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Rite Aid #19053. The authorized official of this NPI record is Mr. Alan Nielsen (Assistant Treasurer)

NPI
1063936771 Verify this NPI
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID #19053
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 E EAGER ST BALTIMORE, MD 21202
Location Phone
(410) 502-8414
Location Fax
(410) 522-9885
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(217) 709-2344
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2017
Last Update Date
08-03-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ALAN NIELSEN

Authorized Official Title
ASSISTANT TREASURER
Authorized Official Phone
(847) 315-3523

Reviews for RITE AID #19053

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
1000 E EAGER ST
BALTIMORE, MD 21202
Pediatrics
1000 E EAGER ST
BALTIMORE, MD 21202
Registered Nurse (General Practice)
1000 E EAGER ST, 3RD FLOOR
BALTIMORE, MD 21202
Registered Nurse
1000 E EAGER ST, RM 3001
BALTIMORE, MD 21202
Family Medicine
1000 E EAGER ST, FAMILY MEDICINE
BALTIMORE, MD 21202
Nurse Practitioner (Obstetrics & Gynecology)
1000 E EAGER ST
BALTIMORE, MD 21202
Dentist (General Practice)
1000 E EAGER ST
BALTIMORE, MD 21202
Pharmacist
1000 E EAGER ST
BALTIMORE, MD 21202
Pharmacist
1000 E EAGER ST, 1ST FLOOR - PHARMACY
BALTIMORE, MD 21202
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Nurse Practitioner (Family)
1000 E EAGER ST
BALTIMORE, MD 21202
Specialist
1000 E EAGER ST, EAST BALTIMORE MEDICAL CENTER
BALTIMORE, MD 21202
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Nurse Practitioner (Adult Health)
1000 E EAGER ST
BALTIMORE, MD 21202
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Dentist (General Practice)
1000 E EAGER ST
BALTIMORE, MD 21202
Internal Medicine
1000 E EAGER ST
BALTIMORE, MD 21202
Pharmacy (Community/Retail Pharmacy)
1000 E EAGER ST, ROOM 1005
BALTIMORE, MD 21202
Obstetrics & Gynecology
1000 E EAGER ST
BALTIMORE, MD 21202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063936771, enumerated as an "organization" on August 03, 2017.

The provider is located at 1000 E EAGER ST BALTIMORE, MD 21202 and the phone number is (410) 502-8414.

Pharmacy with taxonomy code 333600000X.