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WALGREEN CO NPI 1013183045


NPI Information

NPI: 1013183045
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #10190

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 29D2219416

Address:
565 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
ZIP 89081
Phone: (702) 399-3405
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WALGREEN CO is a pharmacy in North Las Vegas, NV. 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 1013183045. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #10190.

The provider's business location address is:

565 E CENTENNIAL PKWY
NORTH LAS VEGAS, NV
ZIP 89081-633
Phone: (702) 399-3405
Fax: (702) 399-9206

The provider's authorized official is Kira 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 29D2219416 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 11/7/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPH02348NEVADAYes

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
11013183045MEDICAIDNEVADA
22991025OTHERNCPDP

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.