WALGREEN CO.
NPI 1366297285
Pharmacy in Baltimore, MD

NPI Status: Active since April 23, 2024

Contact Information

4025 W NORTHERN PKWY
BALTIMORE, MD
ZIP 21215
Phone: (410) 764-9570

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  • Organization
  • Pharmacy
  • CLIA Number: 21D2061204
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 09-16-2026

About WALGREEN CO.

This page provides the complete NPI Profile along with additional information for Walgreen Co., a provider established in Baltimore, Maryland operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1366297285 assigned on April 2024. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Virginia Garza (Director - Ar Central)

NPI
1366297285
Provider Name
WALGREEN CO.
Entity Type
Organization
Location Address
4025 W NORTHERN PKWY BALTIMORE, MD 21215
Location Phone
(410) 764-9570
Mailing Address
1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
Mailing Phone
(217) 709-2364
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-23-2024
Last Update Date
04-23-2024
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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
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

 

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

VIRGINIA GARZA

Authorized Official Title
DIRECTOR - AR CENTRAL
Authorized Official Phone
(217) 709-2364

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2061204
Facility Type
Pharmacy
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
MARANATHA BAAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreen Co. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WALGREEN CO.

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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.
1366297285
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231264914216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 4 + 9 + 1 + 4 + 2 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1366297285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598049595DR. GARY WALTER COOK PHARM.D.
Individual
Pharmacist4025 W NORTHERN PKWY
BALTIMORE, MD 21215
(410) 764-9570
1407131311DR. MAVIS YEBOAH PHARMD
Individual
Pharmacist4025 W NORTHERN PKWY
BALTIMORE, MD 21215
(410) 764-9570
1184382319DR. KENNETH ROBERT PAHR PHARMD
Individual
Pharmacist4025 W NORTHERN PKWY
BALTIMORE, MD 21215
(410) 764-9570
1225043409WALGREEN CO
Organization
Pharmacy4025 W NORTHERN PKWY
BALTIMORE, MD 21215
(410) 764-9570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366297285, enumerated in the NPI registry as an "organization" on April 23, 2024

The provider is located at 4025 W Northern Pkwy Baltimore, Md 21215 and the phone number is (410) 764-9570

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider's CLIA number is 21D2061204 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 23, 2024. 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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