WALGREEN #04984
NPI 1184639247
Pharmacy in Milwaukee, WI

NPI Status: Active since July 29, 2006

Contact Information

6707 W HAMPTON AVE
MILWAUKEE, WI
ZIP 53218
Phone: (414) 536-1053

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  • Organization
  • Pharmacy
  • Accepts Insurance

About WALGREEN #04984

This page provides the complete NPI Profile along with additional information for Walgreen #04984, a provider established in Milwaukee, Wisconsin operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1184639247 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number 7829 (WI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Walgreen #04984. The authorized official of this NPI record is Kira L Taylor (Manager)

NPI
1184639247
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREEN #04984
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6707 W HAMPTON AVE MILWAUKEE, WI 53218
Location Phone
(414) 536-1053
Mailing Address
1901 E VOORHEES ST MAILSTOP #790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2351
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-29-2006
Last Update Date
04-21-2022
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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.
7829
License State
WI
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:

  • 2025 HMO 1500 Elite Gold - HMO
  • 2025 HMO 5000 Elite Silver - HMO
  • 2025 HMO 9200 Elite Catastrophic - HMO
  • 2025 POS 1000 Elite Gold - POS
  • 2025 POS 1500 Elite Gold - POS
  • 2025 POS 2500 Elite Gold - POS
  • 2025 POS 4200 Elite Silver - POS
  • 2025 POS 5000 Elite Silver - POS
  • 2025 POS 6500 Elite Bronze - POS
  • 2025 POS 7250 Elite Silver - POS
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO

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

KIRA L TAYLOR

Authorized Official Title
MANAGER
Authorized Official Phone
(217) 709-2351

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
33236100MEDICAID (05)WI 
5124704OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 30mcg trs-sucr b

This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.

This service was performed 22 times for 22 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 22 times for 22 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 20 times for 20 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 12 times for 12 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

This service was performed 284 times for 29 patients

Reviews for WALGREEN #04984

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1184639247
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641231828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 3 + 1 + 8 + 2 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1184639247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265719447 RYAN LUEDER PHARM D
Individual
Pharmacist6707 W HAMPTON AVE
MILWAUKEE, WI 53218
(414) 536-1179
1790062909 JUNGHEE LEE PHARM D
Individual
Pharmacist6707 W HAMPTON AVE
MILWAUKEE, WI 53218
(414) 536-1179
1033513700DR. SPENCER J GULL PHARMD
Individual
Pharmacist6707 W HAMPTON AVE
MILWAUKEE, WI 53218
(414) 536-1179
1497388029DR. JOHN PARK PHARMD
Individual
Pharmacist6707 W HAMPTON AVE
MILWAUKEE, WI 53218
(414) 536-1179
1922632454 PHOUA XIONG PHARMD
Individual
Pharmacist6707 W HAMPTON AVE
MILWAUKEE, WI 53218
(414) 536-1179

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184639247, enumerated in the NPI registry as an "organization" on July 29, 2006

The provider is located at 6707 W Hampton Ave Milwaukee, Wi 53218 and the phone number is (414) 536-1053

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Health Alliance, Medica, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Adm sarscv2 30mcg trs-sucr b, Administration of influenza virus vaccine, Fee covid-19 vac 13 res, Influenza vaccine split virus, preservative free and Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count.

This NPI record was last updated on July 29, 2006. 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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