RITE AID #11825
NPI 1245756642
Pharmacy in Monroe, GA

Active since August 17, 2017
703 W SPRING ST, MONROE, GA 30655(770) 267-8383(770) 267-0317 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2018, Aug 17, 2017 (2 updates tracked since 2017).

  • Organization
  • Pharmacy

About RITE AID #11825

This page provides the complete NPI Profile along with additional information for Rite Aid #11825, a provider established in Monroe, Georgia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1245756642 assigned on August 2017. The practitioner's primary taxonomy code is 333600000X with license number PHRE010457 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Rite Aid #11825. The authorized official of this NPI record is Alyssa Sweeten (Manager)

NPI
1245756642 Verify this NPI
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID #11825
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
703 W SPRING ST MONROE, GA 30655
Location Phone
(770) 267-8383
Location Fax
(770) 267-0317
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(217) 709-2344
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-17-2017
Last Update Date
04-30-2018
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
PHRE010457
License State
GA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALYSSA SWEETEN

Authorized Official Title
MANAGER
Authorized Official Phone
(217) 709-2386

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00054612AMEDICAID (05)GA 
1170810OTHER (01)GANCPDP

Reviews for RITE AID #11825

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
703 W SPRING ST
MONROE, GA 30655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245756642, enumerated as an "organization" on August 17, 2017.

The provider is located at 703 W SPRING ST MONROE, GA 30655 and the phone number is (770) 267-8383.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.