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WALGREEN CO NPI 1528074069


NPI Information

NPI: 1528074069
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #10775

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1155 N 9TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 789-6514
Get Directions

WALGREEN CO is a pharmacy in Springfield, IL. 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 1528074069. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #10775.

The provider's business location address is:

1155 N 9TH ST
SPRINGFIELD, IL
ZIP 62702-949
Phone: (217) 789-6514

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 8/1/2006 and was last updated on 1/6/2016.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy054.019160ILLINOISYes

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
11457197OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20282936519MEDICARE NSC
3P00400633MEDICARE PIN
4=========088MEDICAIDILLINOIS
5PCH049MEDICARE PIN
6PHC064MEDICARE 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.