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WALGREEN CO NPI 1194730143


NPI Information

NPI: 1194730143
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #05217

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4841 WILLIAMSON RD NW
ROANOKE, VA
ZIP 24012
Phone: (540) 265-8918
Get Directions

WALGREEN CO is a pharmacy in Roanoke, VA. 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 1194730143. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #05217.

The provider's business location address is:

4841 WILLIAMSON RD NW
ROANOKE, VA
ZIP 24012-331
Phone: (540) 265-8918

The provider's authorized official is Alan T Nielsen .
The authorized official title is Treasurer and has the following contact phone number (847) 315-3523.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 11/26/2015.


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
3333600000XPharmacy201003672VIRGINIAYes

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
1008519200MEDICAIDVIRGINIA
2156808407MEDICAIDARKANSAS
3PHC049MEDICARE PIN
4P00400633MEDICARE PIN
54834429OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
60282932804MEDICARE NSC

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: 11/14/2023

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