1. Home
  2. Directory
  3. New York
  4. Patchogue
  5. Pharmacy
  6. NPI Profile

RITE AID
NPI 1093238891
Pharmacy in Patchogue, NY

Active since July 24, 2017CLIA 33D2212524 · Waiver
397 SUNRISE HWY W, PATCHOGUE, NY 11772(631) 654-1300(631) 654-0755 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2017, Jul 24, 2017 (2 updates tracked since 2017).

About Rite Aid NPPES

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

RITE AID (NPI 1093238891) is a healthcare organization registered as a pharmacy in Patchogue, New York and active in the NPI registry since July 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

NPI1093238891
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address397 SUNRISE HWY WPatchogue, NY 11772-1901
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(631) 654-1300
Fax(631) 654-0755
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523
Enumeration DateJuly 24, 2017
Last NPPES UpdateSeptember 22, 20172 updates tracked since enumeration
✔ NPI 1093238891 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
397 SUNRISE HWY W, Patchogue, NY 11772
Open in Google Maps ↗

Other Names 2

Doing Business AsRite Aid
Doing Business AsRite Aid #17937

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 33D2212524

Walgreens #11778 · Patchogue, NY
Active · expires Mar 26, 2027
CLIA Number33D2212524
Laboratory TypePharmacy
Certificate Effective DateFebruary 4, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad Fakhouri
Laboratory Phone(631) 278-2948
Laboratory LocationWalgreens #11778286 W Main St, Patchogue, NY 11772
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 3

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

MS. MARY MARGARET GERIG CPHT
Pharmacy Technician
397 SUNRISE HWY W
PATCHOGUE, NY 11772
Suffolk County (631) 654-0755
STEPHANIE GAGLIONE RPH
Pharmacist
397 SUNRISE HWY W
PATCHOGUE, NY 11772
Suffolk County (631) 654-1300
BRIAN SHADBOLT PHARMD
Pharmacist
397 SUNRISE HWY W
PATCHOGUE, NY 11772
Suffolk County (631) 654-1300

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 1093238891. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Rite Aid and Rite Aid #17937.

Where is Walgreen Co located?

Walgreen Co is located at 397 Sunrise Hwy W, Patchogue, NY 11772. The listed phone number is (631) 654-1300.

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 33D2212524) 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 September 22, 2017. 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.