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RITE AID
NPI 1336668250
Pharmacy in Mooresville, NC

Active since September 12, 2017CLIA 34D2238905 · Waiver
230 E PLAZA DR, MOORESVILLE, NC 28115(704) 662-6551(704) 662-7949 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rite Aid NPPES

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

RITE AID (NPI 1336668250) is a healthcare organization registered as a pharmacy in Mooresville, 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, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1336668250
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address230 E PLAZA DRMooresville, NC 28115-8097
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(704) 662-6551
Fax(704) 662-7949
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523
Enumeration DateSeptember 12, 2017
✔ NPI 1336668250 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
230 E PLAZA DR, Mooresville, NC 28115
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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 34D2238905

Walgreens #17641 · Mooresville, NC
Active · expires Oct 6, 2027
CLIA Number34D2238905
Laboratory TypePharmacy
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorKarin E. Torres
Laboratory Phone(704) 662-6551
Laboratory LocationWalgreens #17641230 E Plaza Dr, Mooresville, NC 28115
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 Walgreens #17641 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17641

DMEPOS supplier · Mooresville, NCOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #17641 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)20401469
Medicare Participant SinceMarch 1, 2022
Supplier Location230 E Plaza DrMooresville, NC 28115
Phone(704) 662-6551
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.

WALGREEN CO
Pharmacy
230 E PLAZA DR
MOORESVILLE, NC 28115
Iredell County (704) 662-6551
WALGREEN CO
Pharmacy
230 E PLAZA DR
MOORESVILLE, NC 28115
Iredell County (704) 662-6551
MARY VIRGINIA PARSONS PHARMD
Pharmacist
230 E PLAZA DR
MOORESVILLE, NC 28115
Iredell County (704) 662-6551
DR. KARIN E TORRES PHARMD
Pharmacist
230 E PLAZA DR
MOORESVILLE, NC 28115
Iredell County (704) 662-6551
MRS. EILEEN MARY RAINESS RPH
Pharmacist
230 E PLAZA DR
MOORESVILLE, NC 28115
Iredell County (704) 662-6551

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 1336668250. It was assigned to this organization in the NPPES registry on September 12, 2017. The provider is doing business as Rite Aid.

Where is Walgreen Co located?

Walgreen Co is located at 230 E Plaza Dr, Mooresville, NC 28115. The listed phone number is (704) 662-6551.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #17641 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2238905) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on September 12, 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.