WALGREEN CO
NPI 1578578803
Pharmacy in San Jose, CA
NPI Status: Active since July 29, 2006
Contact Information
1615 MERIDIAN AVE
SAN JOSE, CA
ZIP 95125
Phone: (408) 978-5393
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 05D2301253
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 03-21-2026
About WALGREEN CO
This page provides the complete NPI Profile along with additional information for Walgreen Co, a provider established in San Jose, California operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1578578803 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number PHY45844 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1578578803
- Provider Legal Name
- WALGREEN CO
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1615 MERIDIAN AVE SAN JOSE, CA 95125
- Location Phone
- (408) 978-5393
- Mailing Address
- 1901 E VOORHEES ST # MS 790 DANVILLE, IL 61834
- Mailing Phone
- (847) 527-2489
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-29-2006
- Last Update Date
- 02-12-2025
- Code Navigator
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.
- PHY45844
- License State
- CA
- 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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 3336C0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
- 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
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.
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 |
|---|---|---|---|
| 0579219 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA458440 | MEDICAID (05) | CA | |
| 1578578803 | MEDICAID (05) | CA |
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
Administration of influenza virus vaccine
Fee covid-19 vac 13 res
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
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 125 times for 125 patientsThe 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 261 times for 259 patientsThe "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 230 times for 230 patientsThe 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 135 times for 134 patientsThe quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
This service was performed 114 times for 114 patientsThis 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 2,014 times for 173 patientsCLIA 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
- 05D2301253
- Facility Type
- Pharmacy
- Certificate Effective Date
- March 22, 2024
- Certificate Expiration Date
- March 21, 2026
- Laboratory Director
- HARJIT BAINS
- 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. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 7 | 8 | 8 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 7 | 16 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 7 + 1 + 6 + 8 + 0 + 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 = 3 | 3 | ||||||||
The NPI number 1578578803 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 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669759940 | THOAILAN VUONG PHARMACIST Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1659648327 | MR. TASOS JOHN CONSTANTIN RPH Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1194092411 | KATE TRAN PHARM.D. Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1215487764 | JESSICA VAN Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1982149266 | SUN MIN LIM Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1568951119 | TANYA GHAEMMAGHAMI Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1770050619 | KIM HOANG DO PHARMD Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
| 1184271488 | KIEU-LINH VU PHARMD Individual | Pharmacist | 1615 MERIDIAN AVE SAN JOSE, CA 95125 (408) 978-5393 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578578803, enumerated in the NPI registry as an "organization" on July 29, 2006
The provider is located at 1615 Meridian Ave San Jose, Ca 95125 and the phone number is (408) 978-5393
This medical organization specializes in Pharmacy with taxonomy code 333600000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medica, Moda. 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, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage and Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count.
The provider's CLIA number is 05D2301253 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 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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