RITE AID
NPI 1063939924
Pharmacy in Commack, NY

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1063939924. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Rite Aid.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on August 23, 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.

Active since August 23, 2017CLIA 33D2207252 · Waiver

126-128 JERICHO TPKE, COMMACK, NY 11725(631) 543-0079(631) 543-3025 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Rite Aid NPPES

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

RITE AID (NPI 1063939924) is a healthcare organization registered as a pharmacy in Commack, New York and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Alan Nielsen, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1063939924

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address126-128 JERICHO TPKECommack, NY 11725-0000

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344

Phone(631) 543-0079

Fax(631) 543-3025

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523

Enumeration DateAugust 23, 2017

✔ NPI 1063939924 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

126-128 JERICHO TPKE, Commack, NY 11725

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Other Names 1

Doing Business AsRite Aid

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 33D2207252

Walgreens No 09865 · Commack, NY

Active · expires Mar 26, 2027

CLIA Number33D2207252

Laboratory TypePharmacy

Certificate Effective DateDecember 27, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Zeiad A. Fakhouri

Laboratory Phone(315) 447-5025

Laboratory LocationWalgreens No 098655001 Jericho Tpke, Commack, NY 11725

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 1063939924. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Rite Aid.

Where is Walgreen Co located?

Walgreen Co is located at 126-128 Jericho Tpke, Commack, NY 11725. The listed phone number is (631) 543-0079.

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 33D2207252) is associated with this NPI, valid through March 26, 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 23, 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.