RITE AID
NPI 1205355047
Pharmacy in Durham, NC

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1205355047. It was assigned to this organization in the NPPES registry on September 13, 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 September 13, 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.

Active since September 13, 2017CLIA 34D2238944 · Waiver

200 N LASALLE ST, DURHAM, NC 27705(919) 383-5591(919) 384-1832 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rite Aid NPPES

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

RITE AID (NPI 1205355047) is a healthcare organization registered as a pharmacy in Durham, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Alan Nielsen, Ass Treasure, as its authorized official.

NPPES Registry Identity

NPI1205355047

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address200 N LASALLE STDurham, NC 27705-3013

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

Phone(919) 383-5591

Fax(919) 384-1832

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAss Treasure · (847) 315-3523

Enumeration DateSeptember 13, 2017

✔ NPI 1205355047 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

200 N LASALLE ST, Durham, NC 27705

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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 34D2238944

Walgreens # 18986 · Durham, NC

Active · expires Oct 6, 2027

CLIA Number34D2238944

Laboratory TypePharmacy

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorCharles Mcclure

Laboratory Phone(919) 383-5591

Laboratory LocationWalgreens # 18986200 North Laselle Street, Durham, NC 27705

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 13

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

DR. ASHLEY CARR SIMS PHARM.D.

Pharmacist