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WALGREEN CO NPI 1497838015


NPI Information

NPI: 1497838015
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #15805

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 25D2037824

Address:
738 S GLOSTER ST
TUPELO, MS
ZIP 38801
Phone: (662) 844-0432
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WALGREEN CO is a community/retail pharmacy pharmacy in Tupelo, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALGREEN CO NPI is 1497838015. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #15805.

The provider's business location address is:

738 S GLOSTER ST
TUPELO, MS
ZIP 38801-932
Phone: (662) 844-0432
Fax: (662) 844-9853

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 CLIA number assigned to this NPI record is 25D2037824 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/16/2017.


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
1333600000XPharmacy01443/01.2MISSISSIPPINo
23336L0003XPharmacyLong Term Care PharmacyNo
3332B00000XDurable Medical Equipment & Medical Supplies01443012MISSISSIPPINo
43336C0003XPharmacyCommunity/Retail PharmacyYes

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
12511714OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
200330366MEDICAIDMISSISSIPPI
3330366MEDICAIDMISSISSIPPI
4870001323OTHERMISSISSIPPIMEDICARE FLU
50282938435MEDICARE NSC
6P00400633MEDICARE PIN
71199580078MEDICARE NSCMISSISSIPPI
801443012OTHERMISSISSIPPIMEDICAID DME
9PHC049MEDICARE PIN

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

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.