WALGREENS #10446 (WALGREEN CO) NPI 1023293560

Pharmacy in Stony Point, NY

NPI 1023293560 Organization Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About WALGREENS #10446 (WALGREEN CO)

Walgreens #10446 (walgreen Co) is a provider established in Stony Point, New York specializing in pharmacy. The NPI number of Walgreens #10446 (walgreen Co) is 1023293560 and was assigned on January 2008. The practitioner's primary taxonomy code is 333600000X with license number 028861 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Walgreens #10446. The authorized official of this NPI record is Alyssa Sweeten (Manager)

Walgreens #10446 is a medicare supplier with PTAN 0282936229 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Oral Antiemetic Drugs or Oral Anticancer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Infusion Drugs or Nebulizer Drugs.

NPI

1023293560

Provider NameWALGREENS #10446 (WALGREEN CO)
Provider Location Address135 S LIBERTY DR STONY POINT, NY 10980
Provider Mailing Address1901 E VOORHEES ST M/S 790 DANVILLE, IL 61834
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWALGREENS #10446
Other Name TypeOther Name (5)
Enumeration Date01-03-2008
Last Update Date12-19-2018


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.028861
License StateNY
Taxonomy DescriptionA 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.

Business Address

WALGREENS #10446
135 S LIBERTY DR
STONY POINT, NY
ZIP 10980
Phone: (845) 786-2063

Get Directions


Mailing Address

WALGREENS #10446
1901 E VOORHEES ST
M/S 790
DANVILLE, IL
ZIP 61834
Phone: (217) 709-2386
Fax: (217) 709-2344



Authorized Official

Authorized Official Name ALYSSA SWEETEN
Authorized Official TitleMANAGER
Authorized Official Phone(217) 709-2386

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0282936229
Accepts Medicare AssignmentNO
Specialities ListPharmacy.
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
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Oral Anticancer Drugs - FDA anticancer 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
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
02978807MEDICAID (05)NY
3357123OTHER (01)

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356665723 DEBBIE A MCSHANE RPH
Individual
Pharmacist135 S LIBERTY DR
STONY POINT, NY 10980
(845) 786-2063
1568730877 ALVIN C JACOB PHARMD
Individual
Pharmacist135 S LIBERTY DR
STONY POINT, NY 10980
(845) 786-2063
1588987630MRS. BEATRIZ CARRASQUILLO PHARMD
Individual
Pharmacist135 S LIBERTY DR
STONY POINT, NY 10980
(845) 786-2063
1073867545DR. LILIANA ESPINAL PHARMD
Individual
Pharmacist135 S LIBERTY DR
STONY POINT, NY 10980
(845) 786-2063

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.