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RITE AID #11690
NPI 1962926204
Pharmacy in Decatur, GA

Active since July 28, 2017
4110 MEMORIAL DR, DECATUR, GA 30032(404) 294-6504(404) 299-5820 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2018, Jul 28, 2017 (2 updates tracked since 2017).

About Rite Aid #11690 NPPES

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

RITE AID #11690 (NPI 1962926204) is a healthcare organization registered as a pharmacy in Decatur, Georgia and active in the NPI registry since July 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1962926204
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4110 MEMORIAL DRDecatur, GA 30032-1803
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(404) 294-6504
Fax(404) 299-5820
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 28, 2017
Last NPPES UpdateApril 27, 20182 updates tracked since enumeration
✔ NPI 1962926204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE010472
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
4110 MEMORIAL DR, Decatur, GA 30032
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Other Names 1

Doing Business AsRite Aid #11690

Other Identifiers 2

Other1170303GA · Ncpdp
Medicaid000694372AGA

Other Providers at the Same Location NPPES

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

DR. KWADWO SAKYI ASANTE PHARMD
Pharmacist
4110 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 294-6504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1962926204. It was assigned to this organization in the NPPES registry on July 28, 2017. The provider is doing business as Rite Aid #11690.

Where is Walgreen Co located?

Walgreen Co is located at 4110 Memorial Dr, Decatur, GA 30032. The listed phone number is (404) 294-6504.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.