RITE AID #11857
NPI 1427571033
Pharmacy in Albany, GA

NPI Status: Active since July 25, 2017

Contact Information

2400 DAWSON RD
ALBANY, GA
ZIP 31707
Phone: (229) 432-0389
Fax: (229) 432-7503

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  • Organization
  • Pharmacy
  • CLIA Number: 11D2034613
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 08-15-2025

About RITE AID #11857

This page provides the complete NPI Profile along with additional information for Rite Aid #11857, a provider established in Albany, Georgia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1427571033 assigned on July 2017. The practitioner's primary taxonomy code is 333600000X with license number PHRE010603 (GA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Rite Aid #11857. The authorized official of this NPI record is Alyssa Sweeten (Manager)

NPI
1427571033
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID #11857
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2400 DAWSON RD ALBANY, GA 31707
Location Phone
(229) 432-0389
Location Fax
(229) 432-7503
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(229) 432-7503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-25-2017
Last Update Date
04-27-2018
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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
License No.
PHRE010603
License State
GA
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

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ALYSSA SWEETEN

Authorized Official Title
MANAGER
Authorized Official Phone
(217) 709-2386

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000026771AMEDICAID (05)GA 
1171723OTHER (01)GANCPDP

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
11D2034613
Facility Type
Pharmacy
Certificate Effective Date
August 16, 2023
Certificate Expiration Date
August 15, 2025
Laboratory Director
OLAYINKA T. ILESANMI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rite Aid #11857 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 #11857

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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.
1427571033
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447107206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 7 + 2 + 0 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1427571033 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154629608MRS. RUTH ALLEGRA BRASHEAR R.PH.
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 439-0109
1487943999 DOROTHY E URICK
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 432-0389
1598023350 MEGHAN GETTIS PATE PHARMD
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 432-0389
1982046835 JENNIFER HUGGINS
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 432-0389
1659777860 BEULAH K ALIOHA
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 432-0389
1710432356 ZENETIA REID RPH
Individual
Pharmacist2400 DAWSON RD
ALBANY, GA 31707
(229) 432-0389

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427571033, enumerated in the NPI registry as an "organization" on July 25, 2017

The provider is located at 2400 Dawson Rd Albany, Ga 31707 and the phone number is (229) 432-0389

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D2034613 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 July 25, 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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