WALGREENS #00118
NPI 1598770620
Pharmacy in Chicago, IL
NPI Status: Active since July 29, 2006
Contact Information
5650 W BELMONT AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 777-4611
Fax: (773) 777-2303
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 14D2288065
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 08-20-2025
About WALGREENS #00118
This page provides the complete NPI Profile along with additional information for Walgreens #00118, a provider established in Chicago, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1598770620 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number 054.019270 (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 #00118. The authorized official of this NPI record is Mr. Alan T Nielsen (Treasurer)
- NPI
- 1598770620
- Provider Legal Name
- WALGREEN CO
- Other Organization Name
- WALGREENS #00118
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5650 W BELMONT AVE CHICAGO, IL 60634
- Location Phone
- (773) 777-4611
- Location Fax
- (773) 777-2303
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 709-2386
- Mailing Fax
- (773) 777-2303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-29-2006
- Last Update Date
- 08-28-2015
- 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.
- 054.019270
- 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) |
|---|---|---|---|---|
| 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:
- 2025 HMO 1500 Elite Gold - HMO
- 2025 HMO 5000 Elite Silver - HMO
- 2025 HMO 9200 Elite Catastrophic - HMO
- 2025 POS 1000 Elite Gold - POS
- 2025 POS 1500 Elite Gold - POS
- 2025 POS 2500 Elite Gold - POS
- 2025 POS 4200 Elite Silver - POS
- 2025 POS 5000 Elite Silver - POS
- 2025 POS 6500 Elite Bronze - POS
- 2025 POS 7250 Elite Silver - POS
- 2025 POS 7500 Elite Bronze - POS
- 2025 POS HSA 7350 Elite Bronze - POS
- 2025 Simplete Memorial HMO Limited Network 3500 Silver - HMO
- 2025 Simplete Memorial HMO Limited Network 2500 Gold - HMO
- 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
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 |
|---|---|---|---|
| 0282930502 | MEDICARE NSC (07) | IL | |
| =========118 | MEDICAID (05) | IL | |
| 1401950 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| P00400633 | MEDICARE PIN (08) | ||
| PHC049 | MEDICARE PIN (08) |
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
- 14D2288065
- Facility Type
- Pharmacy
- Certificate Effective Date
- August 21, 2023
- Certificate Expiration Date
- August 20, 2025
- Laboratory Director
- MICHELLE WYSOCKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens #00118 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 WALGREENS #00118
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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 | 9 | 8 | 7 | 7 | 0 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 7 | 0 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 7 + 0 + 6 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1598770620 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1780964395 | BOZENA CHMURA Individual | Pharmacist | 5650 W BELMONT AVE CHICAGO, IL 60634 (773) 777-4611 |
| 1790066389 | IMTIYAZ LAKADA RPH Individual | Pharmacist | 5650 W BELMONT AVE CHICAGO, IL 60634 (773) 777-4611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598770620, enumerated in the NPI registry as an "organization" on July 29, 2006
The provider is located at 5650 W Belmont Ave Chicago, Il 60634 and the phone number is (773) 777-4611
This medical organization specializes in Pharmacy with taxonomy code 333600000X
The provider might be accepting Accepts: Health Alliance, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2288065 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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