WALGREENS
NPI 1699056648
Pharmacy - Community/Retail Pharmacy in Lombard, IL

NPI Status: Active since September 05, 2011

Contact Information

225 E ROOSEVELT RD
LOMBARD, IL
ZIP 60148
Phone: (630) 627-9784
Fax: (630) 627-9792

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 14D2288071
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 08-20-2025

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Lombard, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1699056648 assigned on September 2011. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Nathan Lim (Pharmacy Supervisor)

NPI
1699056648
Provider Name
WALGREENS
Entity Type
Organization
Location Address
225 E ROOSEVELT RD LOMBARD, IL 60148
Location Phone
(630) 627-9784
Location Fax
(630) 627-9792
Mailing Address
225 E ROOSEVELT RD LOMBARD, IL 60148
Mailing Phone
(630) 627-9784
Mailing Fax
(630) 627-9792
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2011
Last Update Date
09-05-2011
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Walgreens is a medicare supplier with PTAN 20399105 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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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. NATHAN LIM

Authorized Official Title
PHARMACY SUPERVISOR
Authorized Official Phone
(847) 465-0951

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
362127039478MEDICAID (05)IL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20399105
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
14D2288071
Facility Type
Pharmacy
Certificate Effective Date
August 21, 2023
Certificate Expiration Date
August 20, 2025
Laboratory Director
ROZINA AKBER
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.
1699056648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189051268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 0 + 5 + 1 + 2 + 6 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1699056648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679854723 DANIELLE AKINLAWON PHARMD.
Individual
Pharmacist225 E ROOSEVELT RD
LOMBARD, IL 60148
(630) 627-9484
1477838902MRS. MELISSA A HOLOUS-MURPHY
Individual
Pharmacist225 E ROOSEVELT RD
LOMBARD, IL 60148
(630) 627-9784
1962784926DR. LAURA J BAJOREK PHARMD
Individual
Pharmacist225 E ROOSEVELT RD
LOMBARD, IL 60148
(630) 627-9784
1114690476 CINDY LYNN NGUYEN PHARM.D
Individual
Pharmacist225 E ROOSEVELT RD
LOMBARD, IL 60148
(630) 627-9784
1518972793WALGREEN CO
Organization
Pharmacy225 E ROOSEVELT RD
LOMBARD, IL 60148
(630) 627-9780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699056648, enumerated in the NPI registry as an "organization" on September 05, 2011

The provider is located at 225 E Roosevelt Rd Lombard, Il 60148 and the phone number is (630) 627-9784

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

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.

The provider's CLIA number is 14D2288071 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 September 05, 2011. 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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