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RITE AID #19573
NPI 1215452099
Pharmacy in Liverpool, NY

Active since August 14, 2017
4975 BEAR RD, LIVERPOOL, NY 13088(315) 453-2803(315) 451-4848 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 15, 2018, May 24, 2018 and 1 more (4 updates tracked since 2017).

About Rite Aid #19573 NPPES

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

RITE AID #19573 (NPI 1215452099) is a healthcare organization registered as a pharmacy in Liverpool, New York and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1215452099
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4975 BEAR RDLiverpool, NY 13088-4156
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(315) 453-2803
Fax(315) 451-4848
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 14, 2017
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
✔ NPI 1215452099 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
4975 BEAR RD, Liverpool, NY 13088
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Other Names 1

Doing Business AsRite Aid #19573

Other Identifiers 3

Medicaid05017309NY
Other036202NY · Board Of Pharmacy
Other5822704NY · Ncpdp

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.

MICHAEL TARVER PHARM.D.
Pharmacist
4975 BEAR RD
LIVERPOOL, NY 13088
Onondaga County (315) 453-2803
SUSAN L CUCULICH
Pharmacist
4975 BEAR RD
LIVERPOOL, NY 13088
Onondaga County (315) 451-7454

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 1215452099. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Rite Aid #19573.

Where is Walgreen Co located?

Walgreen Co is located at 4975 Bear Rd, Liverpool, NY 13088. The listed phone number is (315) 453-2803.

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 March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.