RITE AID
NPI 1790203735
Durable Medical Equipment & Medical Supplies in Harrison, NJ

NPI Status: Active since August 30, 2017

Contact Information

432 BERGEN ST
HARRISON, NJ
ZIP 07029
Phone: (973) 483-5336
Fax: (973) 483-6541

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 31D2199078
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 11-04-2026

About RITE AID

This page provides the complete NPI Profile along with additional information for Rite Aid, a provider established in Harrison, New Jersey operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1790203735 assigned on August 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Rite Aid. The authorized official of this NPI record is Alan Nielsen (Treasurer)

NPI
1790203735
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
432 BERGEN ST HARRISON, NJ 07029
Location Phone
(973) 483-5336
Location Fax
(973) 483-6541
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(973) 483-6541
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-30-2017
Last Update Date
08-30-2017
Code Navigator



Rite Aid is a medicare supplier with PTAN 20379719 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

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

ALAN NIELSEN

Authorized Official Title
TREASURER
Authorized Official Phone
(847) 315-3523

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20379719
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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
31D2199078
Facility Type
Pharmacy
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
PETER SOUS
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 1790203735, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 4 + 0 + 6 + 7 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790203735.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Community Health Worker
432 BERGEN ST
HARRISON, NJ 07029
Pharmacist
432 BERGEN ST
HARRISON, NJ 07029
Pharmacist
432 BERGEN ST
HARRISON, NJ 07029
Registered Nurse (General Practice)
432 BERGEN ST
HARRISON, NJ 07029
Pharmacy
432 BERGEN ST
HARRISON, NJ 07029
Pharmacist
432 BERGEN ST
HARRISON, NJ 07029
Pharmacist
432 BERGEN ST
HARRISON, NJ 07029
Licensed Practical Nurse
432 BERGEN ST
HARRISON, NJ 07029
Licensed Practical Nurse
432 BERGEN ST
HARRISON, NJ 07029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790203735, enumerated as an "organization" on August 30, 2017.

The provider is located at 432 BERGEN ST HARRISON, NJ 07029 and the phone number is (973) 483-5336.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.