RITE AID #4805
NPI 1922524198
Pharmacy in Ravena, NY

Active since August 18, 2017
2463 US ROUTE 9W, RAVENA, NY 12143(518) 756-6131(518) 756-2536 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2018, Jun 15, 2018, May 24, 2018 and 1 more (4 updates tracked since 2017).

About Rite Aid #4805 NPPES

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

RITE AID #4805 (NPI 1922524198) is a healthcare organization registered as a pharmacy in Ravena, New York and active in the NPI registry since August 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1922524198
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2463 US ROUTE 9WRavena, NY 12143
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Fax(518) 756-2536
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 26, 20184 updates tracked since enumeration
NPI 1922524198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 036132
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
2463 US ROUTE 9W, Ravena, NY 12143

Other Names 1

Doing Business AsRite Aid #4805

Other Identifiers 2

Other5821815NY · Ncpdp
Medicaid04987766NY

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
2463 US ROUTE 9W
RAVENA, NY 12143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922524198, enumerated as an "organization" on August 18, 2017.

The provider is located at 2463 US ROUTE 9W RAVENA, NY 12143 and the phone number is (518) 756-6131.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.