RITE AID #19906
NPI 1083139737
Pharmacy in Bayonne, NJ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1083139737. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider is doing business as Rite Aid #19906.

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 3, 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 03, 2017CLIA 31D2205308 · Waiver

1097 BROADWAY, BAYONNE, NJ 07002(201) 436-6831(201) 436-4782 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rite Aid #19906 NPPES

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

RITE AID #19906 (NPI 1083139737) is a healthcare organization registered as a pharmacy in Bayonne, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Alan Nielsen, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1083139737

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1097 BROADWAYBayonne, NJ 07002-4126

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

Phone(201) 436-6831

Fax(201) 436-4782

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523

Enumeration DateAugust 3, 2017

✔ NPI 1083139737 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

1097 BROADWAY, Bayonne, NJ 07002

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Other Names 1

Doing Business AsRite Aid #19906

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 31D2205308

Walgreens #15368 · Bayonne, NJ

Active · expires Dec 13, 2026

CLIA Number31D2205308

Laboratory TypeCovid 19 Test Site

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorAbuzar Chaudhry

Laboratory Phone(551) 226-2163

Laboratory LocationWalgreens #153681080 Broadway, Bayonne, NJ 07002

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 8

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

PARUL PATEL-GUPTA

Pharmacist