WALGREEN CO NPI 1154336428

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1154336428 Other last name by which the provider being identified is or has been known.
Entity Type Code 2 Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
Employer Identification Number EIN Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
Provider Organization Name Legal Business Name WALGREEN CO The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Other Organization Name WALGREENS #09624 Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Practice Location Address 705 HIGHWAY 62 65 N The city name in the location address of the provider being identified.
Provider Business Practice Location Address City Name HARRISON The first name of the provider, if the provider is an individual.
Provider Business Practice Location Address State Name AR The code designating the provider's gender if the provider is a person.
Provider Business Practice Location Address Postal Code 726012152 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S US The city name in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 8703650459 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address Fax Number 8703650186 The city name in the location address of the provider being identified.
Provider Enumeration Date 7/29/2006 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 10/25/2023 An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Authorized Official Last Name TAYLOR The first name of the provider, if the provider is an individual.
Authorized Official First Name KIRA The telephone number associated with the location address of the provider being identified.
Authorized Official Middle Name L The middle name of the authorized official.
Authorized Official Title or Position MANAGER The title or position of the authorized official.
Authorized Official Telephone Number 2177092351 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Healthcare Provider Taxonomy Code 1 332B00000X The State code in the location of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1 N The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Healthcare Provider Taxonomy Code 2 3336C0003X The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Healthcare Provider Primary Taxonomy Switch 2 N The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Healthcare Provider Taxonomy Code 3 333600000X The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider License Number 3 AR20517 The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider License Number State Code 3 AR A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Healthcare Provider Primary Taxonomy Switch 3 Y The city name in the location address of the provider being identified.
Other Provider Identifier 1 0422232 The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Other Provider Identifier Type Code 1 01 This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier Issuer 1 OTHER ID NUMBER-COMMERCIAL NUMBER This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier 2 158818407 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Other Provider Identifier Type Code 2 05 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Other Provider Identifier State 2 AR The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Other Provider Identifier 3 158982716 DME The middle name of the provider, if the provider is an individual.
Other Provider Identifier Type Code 3 05 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Other Provider Identifier State 3 AR The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Other Provider Identifier 4 606295202 The city name in the location address of the provider being identified.
Other Provider Identifier Type Code 4 05 A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 4 MO The middle name of the provider, if the provider is an individual.
Is Organization Subpart Y The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Parent Organization LBN WALGREENS BOOTS ALLIANCE INC The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
Parent Organization TIN The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
NPI Certification Date 10/25/2023 The middle name of the provider, if the provider is an individual.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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: 11/21/2025

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