RITE AID - NPI 1487178976 - Pharmacy in Shepherdsville, KY

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1487178976. It was assigned to this organization in the NPPES registry on July 27, 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 June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Rite Aid NPPES

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

RITE AID (NPI 1487178976) is a healthcare organization registered as a pharmacy in Shepherdsville, Kentucky and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1487178976

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address445 HIGHWAY 44 EShepherdsville, KY 40165-6020

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

Phone(502) 543-2355

Fax(502) 955-7690

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlyssa SweetenManager · (217) 709-2386

Enumeration DateJuly 27, 2017

Last NPPES UpdateJune 26, 20192 updates tracked since enumeration

✔ NPI 1487178976 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

445 HIGHWAY 44 E, Shepherdsville, KY 40165

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Other Names 1

Doing Business AsRite Aid

Other Identifiers 2

OtherPO7933KY · Board Of Pharmacy

Medicaid7100507940KY

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 18D2026540

Walgreens #10207 · Shepherdsville, KY

Active · expires Dec 20, 2026

CLIA Number18D2026540

Laboratory TypeCovid-19 Test Site

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorMs. Heidi C. Barrett

Laboratory Phone(502) 396-2296

Laboratory LocationWalgreens #10207153 North Buckman Street, Shepherdsville, KY 40165

CLIA data matches this NPI record on: Name

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

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.

JESSICA DISSELKAMP PHARMD

Pharmacist