RITE AID
NPI 1710404876
Pharmacy in Southern Pines, NC

NPI Status: Active since August 29, 2017

Contact Information

610 S BENNETT ST
SOUTHERN PINES, NC
ZIP 28387
Phone: (910) 692-7158
Fax: (910) 692-0748

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  • Organization
  • Pharmacy
  • CLIA Number: 34D2223807
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-09-2027

About RITE AID

This page provides the complete NPI Profile along with additional information for Rite Aid, a provider established in Southern Pines, North Carolina operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1710404876 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. The authorized official of this NPI record is Alan Nielsen (Ass Treasure)

NPI
1710404876
Provider Legal Name
WALGREEN CO
Other Organization Name
RITE AID
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
610 S BENNETT ST SOUTHERN PINES, NC 28387
Location Phone
(910) 692-7158
Location Fax
(910) 692-0748
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
(910) 692-0748
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-29-2017
Last Update Date
08-29-2017
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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
34D2223807
Facility Type
Pharmacy
Certificate Effective Date
May 10, 2025
Certificate Expiration Date
May 09, 2027
Laboratory Director
KENNEDY L. LIEBERMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rite Aid 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

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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.
1710404876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720808814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 8 + 0 + 8 + 8 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1710404876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437256377NEW TOWN CENTER PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)610 S BENNETT ST
SOUTHERN PINES, NC 28387
(910) 692-7158
1073929972 SHEENA WIMBERLY PHARMD
Individual
Pharmacist610 S BENNETT ST
SOUTHERN PINES, NC 28387
(910) 692-7158

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710404876, enumerated in the NPI registry as an "organization" on August 29, 2017

The provider is located at 610 S Bennett St Southern Pines, Nc 28387 and the phone number is (910) 692-7158

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider's CLIA number is 34D2223807 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 29, 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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