WALGREENS #17468
NPI 1932623048
Pharmacy in Ogdensburg, NY
NPI Status: Active since July 31, 2017
Contact Information
908 STATE ST
OGDENSBURG, NY
ZIP 13669
Phone: (315) 393-1714
Fax: (315) 393-6877
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 33D2237940
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 03-26-2027
About WALGREENS #17468
This page provides the complete NPI Profile along with additional information for Walgreens #17468, a provider established in Ogdensburg, New York operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1932623048 assigned on July 2017. The practitioner's primary taxonomy code is 333600000X with license number 036210 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Walgreens #17468. The authorized official of this NPI record is Kira Taylor (Manager)
- NPI
- 1932623048
- Provider Legal Name
- WALGREEN CO
- Other Organization Name
- WALGREENS #17468
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 908 STATE ST OGDENSBURG, NY 13669
- Location Phone
- (315) 393-1714
- Location Fax
- (315) 393-6877
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 709-2351
- Mailing Fax
- (315) 393-6877
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-31-2017
- Last Update Date
- 05-13-2022
- 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.
- 036210
- License State
- NY
- 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:
- 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.
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 |
|---|---|---|---|
| 5822235 | OTHER (01) | NY | NCPDP |
| 04989451 | MEDICAID (05) | NY |
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
- 33D2237940
- Facility Type
- Pharmacy
- Certificate Effective Date
- September 29, 2021
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. ZEIAD A. FAKHOURI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walgreens #17468 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 #17468
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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 | 9 | 3 | 2 | 6 | 2 | 3 | 0 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 12 | 2 | 6 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 2 + 2 + 6 + 0 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1932623048 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 |
|---|---|---|---|
| 1689821605 | KARY K PATTERSON R.PH. Individual | Pharmacist | 908 STATE ST OGDENSBURG, NY 13669 (315) 393-1714 |
| 1265879654 | DR. JOB C EDWARDS PHARM D Individual | Pharmacist | 908 STATE ST OGDENSBURG, NY 13669 (315) 393-1714 |
| 1255713202 | STEPHEN BUDDENHAGEN Individual | Pharmacist | 908 STATE ST OGDENSBURG, NY 13669 (315) 379-1714 |
| 1396262002 | MARTIN FREGOE Individual | Pharmacist | 908 STATE ST OGDENSBURG, NY 13669 (315) 393-1714 |
| 1003423989 | DR. CODY BRUCE RACHA PHARMD Individual | Pharmacist | 908 STATE ST OGDENSBURG, NY 13669 (315) 393-1714 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932623048, enumerated in the NPI registry as an "organization" on July 31, 2017
The provider is located at 908 State St Ogdensburg, Ny 13669 and the phone number is (315) 393-1714
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.
The provider's CLIA number is 33D2237940 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 31, 2017. 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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