WALGREENS #12543
NPI 1063642460
Pharmacy in Cuyahoga Falls, OH

NPI Status: Active since July 20, 2009

Contact Information

755 HOWE AVE
CUYAHOGA FALLS, OH
ZIP 44221
Phone: (330) 920-1320

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  • Organization
  • Pharmacy
  • Accepts Insurance

About WALGREENS #12543

This page provides the complete NPI Profile along with additional information for Walgreens #12543, a provider established in Cuyahoga Falls, Ohio operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1063642460 assigned on July 2009. The practitioner's primary taxonomy code is 333600000X with license number 021982350 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Walgreens #12543. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)

NPI
1063642460
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #12543
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
755 HOWE AVE CUYAHOGA FALLS, OH 44221
Location Phone
(330) 920-1320
Mailing Address
1901 E VOORHEES ST M/S 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-20-2009
Last Update Date
01-13-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
021982350
License State
OH
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Catastrophic - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ALAN T NIELSEN

Authorized Official Title
TREASURER
Authorized Official Phone
(847) 315-3523

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3002520MEDICAID (05)OH 
0282937166MEDICARE NSC (07) 
3678262OTHER (01)NCPDP
PHC049MEDICARE PIN (08) 
P00400633MEDICARE PIN (08) 

Reviews for WALGREENS #12543

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063642460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231244412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 4 + 4 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063642460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558644948 DANA LEIGH CICCARELLO RPH
Individual
Pharmacist755 HOWE AVE
CUYAHOGA FALLS, OH 44221
(330) 920-1320
1336414853 STEPHANIE C LIM PHARM.D
Individual
Pharmacist755 HOWE AVE
CUYAHOGA FALLS, OH 44221
(330) 920-1320
1336420272 AMY DICE
Individual
Pharmacist755 HOWE AVE
CUYAHOGA FALLS, OH 44221
(330) 920-1320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063642460, enumerated in the NPI registry as an "organization" on July 20, 2009

The provider is located at 755 Howe Ave Cuyahoga Falls, Oh 44221 and the phone number is (330) 920-1320

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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