WALGREENS #13576
NPI 1588965842
Pharmacy in Morgantown, WV

NPI Status: Active since November 03, 2010

Contact Information

781 CHESTNUT RIDGE RD
MORGANTOWN, WV
ZIP 26505
Phone: (304) 598-2044

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  • Organization
  • Pharmacy
  • Accepts Insurance

About WALGREENS #13576

This page provides the complete NPI Profile along with additional information for Walgreens #13576, a provider established in Morgantown, West Virginia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1588965842 assigned on November 2010. The practitioner's primary taxonomy code is 333600000X with license number SP0552266 (WV). 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 #13576. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)

NPI
1588965842
Provider Legal Name
WALGREEN CO
Other Organization Name
WALGREENS #13576
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
781 CHESTNUT RIDGE RD MORGANTOWN, WV 26505
Location Phone
(304) 598-2044
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
11-03-2010
Last Update Date
01-13-2016
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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.
SP0552266
License State
WV
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:

  • 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
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - 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
0282937585MEDICARE NSC (07) 
P00400633MEDICARE PIN (08) 
PHC049MEDICARE PIN (08) 
5055365OTHER (01)NCPDP
3810019333MEDICAID (05)WV 

Reviews for WALGREENS #13576

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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.
1588965842
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681861088
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 8 + 6 + 1 + 0 + 8 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1588965842 is valid because the calculated check digit 2 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
1316150923MS. BOBBI ANN NEAL RN
Individual
Registered Nurse (Occupational Health)781 CHESTNUT RIDGE RD
MORGANTOWN, WV 26505
(304) 554-5298
1578721460RENNER'S PHARMACY
Organization
Pharmacy781 CHESTNUT RIDGE RD RENNER'S PHARMACY
MORGANTOWN, WV 26505
(304) 598-5455
1952694325 TIMOTHY JOSEPH RAKAS
Individual
Pharmacist781 CHESTNUT RIDGE RD
MORGANTOWN, WV 26505
(304) 598-2044
1093185373PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Organization
Clinic/Center (Multi-Specialty)781 CHESTNUT RIDGE RD
MORGANTOWN, WV 26505
(304) 554-5298

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588965842, enumerated in the NPI registry as an "organization" on November 03, 2010

The provider is located at 781 Chestnut Ridge Rd Morgantown, Wv 26505 and the phone number is (304) 598-2044

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. 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 November 03, 2010. 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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