WALGREEN CO NPI 1417101247

NPI Details

WALGREEN CO is a community/retail pharmacy pharmacy in Kendallville, IN. 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 1417101247. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11494.

The provider's business location address is:

124 E NORTH ST
KENDALLVILLE, IN
ZIP 46755-124
Phone: (260) 349-1530
Fax: (260) 349-1936

The provider's authorized official is Kira L 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 15D2038387 - other - covid-19 test site with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 11/6/2008 and was last updated on 11/6/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.