Provider Type Icon

WALGREEN CO. NPI 1003057811


NPI Information

NPI: 1003057811
Provider Name: WALGREEN CO.

Doing Business As: WALGREENS #11980

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 51D2043750

Address:
111 4TH AVE
HUNTINGTON, WV
ZIP 25701
Phone: (304) 523-3502
Get Directions

WALGREEN CO. is a pharmacy in Huntington, WV. The provider is 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. WALGREEN CO. NPI is 1003057811. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11980.

The provider's business location address is:

111 4TH AVE
HUNTINGTON, WV
ZIP 25701-219
Phone: (304) 523-3502
Fax: (304) 522-0891

The provider's authorized official is Kira L Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The CLIA number assigned to this NPI record is 51D2043750 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2009 and was last updated on 2/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2291U00000XClinical Medical LaboratoryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4333600000XPharmacyMP0552379WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810014687MEDICAIDWEST VIRGINIA
25055000OTHERNCPDP
32981117MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.