RITE AID #20689 - NPI 1164947982 - Pharmacy in Jersey City, NJ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1164947982. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Rite Aid #20689.

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 14, 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.

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About Rite Aid #20689 NPPES

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

RITE AID #20689 (NPI 1164947982) is a healthcare organization registered as a pharmacy in Jersey City, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Alan Nielsen, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1164947982

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address981 W SIDE AVEJersey City, NJ 07306-6903

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

Phone(201) 332-0410

Fax(201) 451-7106

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523

Enumeration DateAugust 14, 2017

✔ NPI 1164947982 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

981 W SIDE AVE, Jersey City, NJ 07306

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Other Names 1

Doing Business AsRite Aid #20689

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 31D2290606

Walgreens 14303 · Jersey City, NJ

Active · expires Sep 26, 2027

CLIA Number31D2290606

Laboratory TypePharmacy

Certificate Effective DateSeptember 27, 2025

Certificate Expiration DateSeptember 26, 2027

Laboratory DirectorMa Angelica B. Remo

Laboratory Phone(201) 459-0614

Laboratory LocationWalgreens 143031 Path Plz, Jersey City, NJ 07306

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.

ROWENA VERANO PHARMD, RPH

Pharmacist