WALGREENS #05750
NPI 1235144593
Pharmacy in Tucson, AZ

NPI Status: Active since July 29, 2006

Contact Information

10315 E BROADWAY BLVD
TUCSON, AZ
ZIP 85748
Phone: (520) 886-2108

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  • Organization
  • Pharmacy
  • Accepts Insurance

About WALGREENS #05750

This page provides the complete NPI Profile along with additional information for Walgreens #05750, a provider established in Tucson, Arizona operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1235144593 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number Y03647 (AZ). 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 #05750. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)

NPI
1235144593
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #05750
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10315 E BROADWAY BLVD TUCSON, AZ 85748
Location Phone
(520) 886-2108
Mailing Address
1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2386
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-29-2006
Last Update Date
11-26-2015
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Location Map

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.
Y03647
License State
AZ
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 $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
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO

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
0282933799MEDICARE NSC (07)AZ 
P00400633MEDICARE PIN (08) 
0326896OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
722167MEDICAID (05)AZ 
PHC049MEDICARE PIN (08) 

Reviews for WALGREENS #05750

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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.
1235144593
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265248518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 4 + 8 + 5 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1235144593 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063499234 DANICA STOUT NP
Individual
Nurse Practitioner (Family)10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 490-7810
1295924934 SYLVIA VALADEZ NP
Individual
Nurse Practitioner (Family)10315 E BROADWAY BLVD
TUCSON, AZ 85748
(866) 825-3227
1932439155MR. SCOTT E SALERNO RPH
Individual
Pharmacist10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 886-2108
1346570579 MICHAEL BURGESS PHARMD
Individual
Pharmacist10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 886-0837
1730419839 ANNE M LINDEMER RPH
Individual
Pharmacist10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 886-2108
1235655119 SARAH JOACHIM PHARMD
Individual
Pharmacist10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 886-2108
1609366301 NEGEEN MOSLEM PHARMD
Individual
Student in an Organized Health Care Education/Training Program10315 E BROADWAY BLVD
TUCSON, AZ 85748
(520) 886-2108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235144593, enumerated in the NPI registry as an "organization" on July 29, 2006

The provider is located at 10315 E Broadway Blvd Tucson, Az 85748 and the phone number is (520) 886-2108

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 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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