RITE AID #17049
NPI 1043735517
Pharmacy in Slidell, LA

NPI Status: Active since August 07, 2017

Contact Information

2090 GAUSE BLVD E
SLIDELL, LA
ZIP 70461
Phone: (985) 641-3847
Fax: (985) 639-9835

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  • Organization
  • Pharmacy
  • CLIA Number: 19D2239260
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 10-10-2025

About RITE AID #17049

This page provides the complete NPI Profile along with additional information for Rite Aid #17049, a provider established in Slidell, Louisiana operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1043735517 assigned on August 2017. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Rite Aid #17049. The authorized official of this NPI record is Alan Nielsen (Ass Treasure)

NPI
1043735517
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID #17049
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2090 GAUSE BLVD E SLIDELL, LA 70461
Location Phone
(985) 641-3847
Location Fax
(985) 639-9835
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(985) 639-9835
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-07-2017
Last Update Date
08-07-2017
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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
ASS TREASURE
Authorized Official Phone
(847) 315-3523

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
19D2239260
Facility Type
Pharmacy
Certificate Effective Date
October 11, 2023
Certificate Expiration Date
October 10, 2025
Laboratory Director
ARIYAN T. FRAZIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rite Aid #17049 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.

Reviews for RITE AID #17049

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043735517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831431052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 3 + 1 + 0 + 5 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1043735517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1710286687MRS. BARBARA HAZELBAKER PHILLIPS RPH.
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1114217957 LARRY W DOUGLAS RPH
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1962760116 MONGTRUC HOANG PHARM D.
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1063771103 JENNY T PERINO
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1508234568 THAO TAM NGUYEN
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1285113530 ARIYAN FRAZIER
Individual
Pharmacist2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847
1700303302WALGREEN CO
Organization
Pharmacy2090 GAUSE BLVD E
SLIDELL, LA 70461
(985) 641-3847

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043735517, enumerated in the NPI registry as an "organization" on August 07, 2017

The provider is located at 2090 Gause Blvd E Slidell, La 70461 and the phone number is (985) 641-3847

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider's CLIA number is 19D2239260 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on August 07, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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