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RITE AID #11706
NPI 1073037487
Pharmacy in Lilburn, GA

Active since July 27, 2017
4101 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2018, Jul 27, 2017 (2 updates tracked since 2017).

About Rite Aid #11706 NPPES

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

RITE AID #11706 (NPI 1073037487) is a healthcare organization registered as a pharmacy in Lilburn, Georgia and active in the NPI registry since July 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1073037487
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4101 FIVE FORKS TRICKUM RD SWLilburn, GA 30047-3129
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 27, 2017
Last NPPES UpdateApril 30, 20182 updates tracked since enumeration
✔ NPI 1073037487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE010465
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
4101 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047
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Other Names 1

Doing Business AsRite Aid #11706

Other Identifiers 2

Medicaid00884166AGA
Other1170757GA · Ncpdp

Other Providers at the Same Location NPPES 4

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

CHRIS CHI CHIN PHARMD
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884
MRS. TRACY LYNN STROUD RPH
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884
MRS. GLORIA JAN T. EIDSON RPH
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884
KIMBERLY H DOWNS
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884

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 1073037487. It was assigned to this organization in the NPPES registry on July 27, 2017. The provider is doing business as Rite Aid #11706.

Where is Walgreen Co located?

Walgreen Co is located at 4101 Five Forks Trickum Rd SW, Lilburn, GA 30047.

What is Walgreen Co's specialty?

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

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 30, 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.