RITE AID - NPI 1174040471 - Pharmacy in Charlotte, NC

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1174040471. It was assigned to this organization in the NPPES registry on August 28, 2017. The provider is doing business as Rite Aid.

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 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rite Aid NPPES

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

RITE AID (NPI 1174040471) is a healthcare organization registered as a pharmacy in Charlotte, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Alan Nielsen, Ass Treasure, as its authorized official.

NPPES Registry Identity

NPI1174040471

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address6231 FAIRVIEW RDCharlotte, NC 28210-3262

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

Phone(704) 553-1078

Fax(704) 552-7476

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAss Treasure · (847) 315-3523

Enumeration DateAugust 28, 2017

✔ NPI 1174040471 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

6231 FAIRVIEW RD, Charlotte, NC 28210

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Other Names 1

Doing Business AsRite Aid

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 34D2230956

Walgreens #18053 · Charlotte, NC

Active · expires Jul 28, 2027

CLIA Number34D2230956

Laboratory TypePharmacy

Certificate Effective DateJuly 29, 2025

Certificate Expiration DateJuly 28, 2027

Laboratory DirectorLiliana Bosefski

Laboratory Phone(704) 553-1078

Laboratory LocationWalgreens #180536231 Fairview Road, Charlotte, NC 28210

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Charlotte, NC

✔

Accepts Medicare assignment

Walgreen Co agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20397791

Medicare Participant SinceMarch 1, 2022

Supplier Location6231 Fairview RdCharlotte, NC 28210

Phone(704) 553-1078

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

KERRI MICHELLE GREENE PHARMD

Pharmacist