RITE AID
NPI 1699292102
Pharmacy in Simpsonville, SC

NPI Status: Active since August 25, 2017

Contact Information

930 NE MAIN ST
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 963-2573
Fax: (864) 228-9725

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  • Organization
  • Pharmacy
  • CLIA Number: 42D1092255
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 10-19-2027

About RITE AID

This page provides the complete NPI Profile along with additional information for Rite Aid, a provider established in Simpsonville, South Carolina operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1699292102 assigned on August 2017. The practitioner's primary taxonomy code is 333600000X. 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. The authorized official of this NPI record is Alyssa Sweeten (Manager)

NPI
1699292102
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
930 NE MAIN ST SIMPSONVILLE, SC 29681
Location Phone
(864) 963-2573
Location Fax
(864) 228-9725
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(864) 228-9725
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-25-2017
Last Update Date
06-18-2018
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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
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

 

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1092255
Facility Type
Pharmacy
Certificate Effective Date
October 20, 2025
Certificate Expiration Date
October 19, 2027
Laboratory Director
JESSICA M. LABODA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rite Aid to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699292102, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 4 + 9 + 4 + 1 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1699292102.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681
Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681
Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681
Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681
Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681
Pharmacist
930 NE MAIN ST
SIMPSONVILLE, SC 29681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699292102, enumerated as an "organization" on August 25, 2017.

The provider is located at 930 NE MAIN ST SIMPSONVILLE, SC 29681 and the phone number is (864) 963-2573.

Pharmacy with taxonomy code 333600000X.