WALGREENS #15096
NPI 1023312717
Pharmacy in Mound, MN

Active since January 10, 2011CLIA 24D2218001 · Waiver
2238 COMMERCE BLVD, MOUND, MN 55364(952) 472-2929 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreens #15096 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS #15096 (NPI 1023312717) is a healthcare organization registered as a pharmacy in Mound, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Kermit R Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1023312717
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2238 COMMERCE BLVDMound, MN 55364-1547
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYes
Authorized OfficialKermit R CrawfordPresident · (847) 914-3154
Enumeration DateJanuary 10, 2011
Last NPPES UpdateApril 1, 2011
NPI 1023312717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MN · 263649
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2238 COMMERCE BLVD, Mound, MN 55364

Other Names 1

Doing Business AsWalgreens #15096

Other Identifiers 4

Medicare PINPHC049
Medicare NSC0282937615
Medicare PINP00400633
Other2430572Ncpdp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2218001

Walgreens #15150 · Mound, MN
Active · expires Mar 24, 2027
CLIA Number24D2218001
Laboratory TypePharmacy
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorSally A. Kastner
Laboratory Phone(952) 472-2929
Laboratory LocationWalgreens #151502251 Commerce Blvd, Mound, MN 55364
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2238 COMMERCE BLVD
MOUND, MN 55364
Pharmacist
2238 COMMERCE BLVD
MOUND, MN 55364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1023312717. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider is doing business as Walgreens #15096.

Where is Walgreen Co located?

Walgreen Co is located at 2238 Commerce Blvd, Mound, MN 55364. The listed phone number is (952) 472-2929.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2218001) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.