RITE AID #18853
NPI 1962925727
Pharmacy in Stratford, CT

Active since July 24, 2017
3680 MAIN ST, STRATFORD, CT 06614(203) 377-8065(203) 377-2946 Get Directions Write a Review

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

About Rite Aid #18853 NPPES

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

RITE AID #18853 (NPI 1962925727) is a healthcare organization registered as a pharmacy in Stratford, Connecticut and active in the NPI registry since July 2017. The organization lists Alan Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1962925727
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3680 MAIN STStratford, CT 06614-4102
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Fax(203) 377-2946
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan NielsenTreasurer · (847) 315-3523
Enumeration DateJuly 24, 2017
NPI 1962925727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
3680 MAIN ST, Stratford, CT 06614

Other Names 1

Doing Business AsRite Aid #18853

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 07D2241997

Walgreens # 03359 · Stratford, CT
Expired · Nov 2, 2025
CLIA Number07D2241997
Laboratory TypePharmacy
Certificate Effective DateNovember 3, 2023
Certificate Expiration DateNovember 2, 2025
Laboratory DirectorKevin R. Ehl
Laboratory Phone(203) 377-2851
Laboratory LocationWalgreens # 033591606 Barnam Ave, Stratford, CT 06614
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacist
3680 MAIN ST
STRATFORD, CT 06614
Pharmacist
3680 MAIN ST
STRATFORD, CT 06614
Pharmacist
3680 MAIN ST
STRATFORD, CT 06614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962925727, enumerated as an "organization" on July 24, 2017.

The provider is located at 3680 MAIN ST STRATFORD, CT 06614 and the phone number is (203) 377-8065.

Pharmacy with taxonomy code 333600000X.