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RITE AID #10646
NPI 1205352952
Pharmacy in Lindenhurst, NY

Active since August 15, 2017
457 PARK AVE, LINDENHURST, NY 11757(631) 225-5480(631) 225-5186 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, Feb 16, 2018 and 1 more (4 updates tracked since 2017).

About Rite Aid #10646 NPPES

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

RITE AID #10646 (NPI 1205352952) is a healthcare organization registered as a pharmacy in Lindenhurst, New York and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1205352952
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address457 PARK AVELindenhurst, NY 11757
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(631) 225-5480
Fax(631) 225-5186
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 15, 2017
Last NPPES UpdateJuly 24, 20184 updates tracked since enumeration
✔ NPI 1205352952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 036405
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
457 PARK AVE, Lindenhurst, NY 11757
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Other Names 1

Doing Business AsRite Aid #10646

Other Identifiers 2

Other5824138NY · Ncpdp
Medicaid05078331NY

Other Providers at the Same Location NPPES 2

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

MRS. YOLANDA CUNETA BACAYON
Pharmacist
457 PARK AVE
LINDENHURST, NY 11757
Suffolk County (631) 225-5480
FRANK NOBLETT RPH
Pharmacist
457 PARK AVE
LINDENHURST, NY 11757
Suffolk County (631) 225-5480

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 1205352952. It was assigned to this organization in the NPPES registry on August 15, 2017. The provider is doing business as Rite Aid #10646.

Where is Walgreen Co located?

Walgreen Co is located at 457 Park Ave, Lindenhurst, NY 11757. The listed phone number is (631) 225-5480.

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.