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RITE AID #4192
NPI 1104343854
Pharmacy in Corona, NY

Active since August 24, 2017
4016 NATIONAL ST, CORONA, NY 11368(718) 507-0442(718) 507-6458 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2018, Jun 16, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Rite Aid #4192 NPPES

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

RITE AID #4192 (NPI 1104343854) is a healthcare organization registered as a pharmacy in Corona, New York and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1104343854
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4016 NATIONAL STCorona, NY 11368
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(718) 507-0442
Fax(718) 507-6458
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 24, 20183 updates tracked since enumeration
✔ NPI 1104343854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036319
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
4016 NATIONAL ST, Corona, NY 11368
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Other Names 1

Doing Business AsRite Aid #4192

Other Identifiers 2

Medicaid05093458NY
Other5823655NY · Ncpdp

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.

DR. GABRIEL O CHAVES PHARMD
Pharmacist
4016 NATIONAL ST
CORONA, NY 11368
Queens County (718) 507-0442
JIN YEE VIVIAN LI
Pharmacist
4016 NATIONAL ST
CORONA, NY 11368
Queens County (718) 507-0442
DR. AVNER ISMAILOV
Pharmacist
4016 NATIONAL ST
CORONA, NY 11368
Queens County (718) 507-0442

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 1104343854. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is doing business as Rite Aid #4192.

Where is Walgreen Co located?

Walgreen Co is located at 4016 National St, Corona, NY 11368. The listed phone number is (718) 507-0442.

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 July 24, 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.