RITE AID #17865
NPI 1891218665
Pharmacy in Brooklyn, NY

Active since July 24, 2017
5901 BAY PKWY, BROOKLYN, NY 11204(718) 236-6366(718) 331-2094 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy

About RITE AID #17865

This page provides the complete NPI Profile along with additional information for Rite Aid #17865, a provider established in Brooklyn, New York operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1891218665 assigned on July 2017. The practitioner's primary taxonomy code is 333600000X. 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 #17865. The authorized official of this NPI record is Alan Nielsen (Asst Treasurer)

NPI
1891218665 Verify this NPI
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID #17865
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5901 BAY PKWY BROOKLYN, NY 11204
Location Phone
(718) 236-6366
Location Fax
(718) 331-2094
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(217) 709-2344
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-24-2017
Last Update Date
07-24-2017
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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

ALAN NIELSEN

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

Reviews for RITE AID #17865

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204
Pharmacist
5901 BAY PKWY
BROOKLYN, NY 11204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891218665, enumerated as an "organization" on July 24, 2017.

The provider is located at 5901 BAY PKWY BROOKLYN, NY 11204 and the phone number is (718) 236-6366.

Pharmacy with taxonomy code 333600000X.