WALGREENS #10775
NPI 1528074069
Pharmacy in Springfield, IL

NPI Status: Active since August 01, 2006

Contact Information

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

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  • Organization
  • Pharmacy

About WALGREENS #10775

This page provides the complete NPI Profile along with additional information for Walgreens #10775, a provider established in Springfield, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1528074069 assigned on August 2006. The practitioner's primary taxonomy code is 333600000X with license number 054.019160 (IL). 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 #10775. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)

NPI
1528074069
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #10775
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1155 N 9TH ST SPRINGFIELD, IL 62702
Location Phone
(217) 789-6514
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
08-01-2006
Last Update Date
01-06-2016
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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.
054.019160
License State
IL
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:

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
1457197OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
0282936519MEDICARE NSC (07) 
P00400633MEDICARE PIN (08) 
=========088MEDICAID (05)IL 
PCH049MEDICARE PIN (08) 
PHC064MEDICARE PIN (08) 

Reviews for WALGREENS #10775

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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.
1528074069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548078012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 7 + 8 + 0 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1528074069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588947311MRS. JENNIFER ANN O'NEAL RPH.
Individual
Pharmacist1155 N 9TH ST
SPRINGFIELD, IL 62702
(217) 789-6514
1134404221MRS. HONG K NGUYEN PHARMD
Individual
Pharmacist1155 N 9TH ST
SPRINGFIELD, IL 62702
(217) 789-6514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528074069, enumerated in the NPI registry as an "organization" on August 01, 2006

The provider is located at 1155 N 9th St Springfield, Il 62702 and the phone number is (217) 789-6514

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: 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 August 01, 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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