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WALGREEN CO NPI 1497924708


NPI Information

NPI: 1497924708
Provider Name: WALGREEN CO

Other Name: WALGREENS #10989

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 33D2293907

Address:
2431 BOSTON RD
BRONX, NY
ZIP 10467
Phone: (718) 652-0492
Get Directions

WALGREEN CO is a pharmacy in Bronx, NY. 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 1497924708. The provider is registered as an organization entity type.
The provider Other Name Is Walgreens #10989.

The provider's business location address is:

2431 BOSTON RD
BRONX, NY
ZIP 10467-067
Phone: (718) 652-0492
Fax: (718) 654-2596

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 33D2293907 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2008 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
23336C0002XPharmacyClinic Pharmacy029307NEW YORKNo
3333600000XPharmacyYes

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
103091334MEDICAIDNEW YORK
23357464OTHERNEW YORKNCPDP

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.