RITE AID - NPI 1497272256 - Durable Medical Equipment & Medical Supplies in Clark, NJ

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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About Rite Aid NPPES

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

RITE AID (NPI 1497272256) is a healthcare organization registered as a durable medical equipment & medical supplies in Clark, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Alan Nielsen, Asst Treasurer, as its authorized official.

NPPES Registry Identity

NPI1497272256

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameWALGREEN CO

Location Address142 CENTRAL AVEClark, NJ 07066-1108

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

Phone(732) 815-9320

Fax(732) 815-1736

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialAlan NielsenAsst Treasurer · (847) 315-3523

Enumeration DateAugust 23, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1497272256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

142 CENTRAL AVE, Clark, NJ 07066

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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 31D2220868

Walgreens #18312 · Clark, NJ

Active · expires Apr 14, 2027

CLIA Number31D2220868

Laboratory TypePharmacy

Certificate Effective DateApril 15, 2025

Certificate Expiration DateApril 14, 2027

Laboratory DirectorJoseph Sisolak

Laboratory Phone(732) 815-9320

Laboratory LocationWalgreens #18312142 Central Avenue, Clark, NJ 07066

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 6

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

SNEHA BANKER

Pharmacist