WALGREENS
NPI 1639582604
Clinic/Center - Community Health in Saint Louis, MO
NPI Status: Active since June 08, 2014
Contact Information
4218 LINDELL BLVD
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 371-4286
- Organization
- Clinic/Center
- Community Health
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 26D1060570
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 10-25-2026
About WALGREENS
This page provides the complete NPI Profile along with additional information for Walgreens, a primary care provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1639582604 assigned on June 2014. The practitioner's primary taxonomy code is 261QC1500X with license number 2013026259 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Kellye Holtgrave Pharm.d. (Supervisor)
- NPI
- 1639582604
- Provider Name
- WALGREENS
- Entity Type
- Organization
- Location Address
- 4218 LINDELL BLVD SAINT LOUIS, MO 63108
- Location Phone
- (314) 371-4286
- Mailing Address
- 600 THIEBES RD LABADIE, MO 63055
- Mailing Phone
- (636) 751-5778
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-08-2014
- Last Update Date
- 06-08-2014
- Code Navigator
A primary care provider (PCP) like Walgreens sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Walgreens is a medicare supplier with PTAN 20359787 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
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
Clinic/Center Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2013026259
- License State
- MO
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20359787
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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
- 26D1060570
- Facility Type
- Pharmacy
- Certificate Effective Date
- October 26, 2024
- Certificate Expiration Date
- October 25, 2026
- Laboratory Director
- THERESA D. DETERDING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens 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.
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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 | 6 | 3 | 9 | 5 | 8 | 2 | 6 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 8 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 8 + 4 + 6 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639582604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669785697 | DR. CLARK KEBODEAUX PHARM.D. Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 534-3829 |
| 1750662052 | DR. MICHELLE YAGER PHARM.D Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1720362510 | NICOLE NGOC YEUNG PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1588948384 | ELIZABETH CHETELAT COOLEY PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1245517010 | JEFFREY KURUVILLA PHARM.D. Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1568712255 | DR. TRE'VON ORLANDO ELAM PHARM. D. Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1013309897 | KARA GREEN Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1770949257 | DR. SOPHIE WILLIS PHARM.D. Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 534-3829 |
| 1700326725 | MICHELLE JEON PHARM.D. Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 534-3829 |
| 1467116228 | KEVIN J BREEZE RPH Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1669487815 | WALGREEN CO Organization | Pharmacy | 4218 LINDELL BLVD ST LOUIS, MO 63108 (314) 371-4232 |
| 1497472922 | JOHNATHAN DOTY Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1063293249 | SHEKHAR SINHA PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1134731219 | THERESA DETERDING Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1588276679 | GABRIELLE SPANN PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1588433684 | PRISCILLA LAKES PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1447912985 | SAMER FARES ISSA PHARMD Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
| 1619793551 | JAEJUN YOO RPH Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (573) 303-1382 |
| 1801607775 | TALIESHA HART Individual | Pharmacist | 4218 LINDELL BLVD SAINT LOUIS, MO 63108 (314) 371-4286 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639582604, enumerated in the NPI registry as an "organization" on June 08, 2014
The provider is located at 4218 Lindell Blvd Saint Louis, Mo 63108 and the phone number is (314) 371-4286
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider's CLIA number is 26D1060570 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 June 08, 2014. 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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