WALGREENS
NPI 1033513171
Health Maintenance Organization in Jersey City, NJ

NPI Status: Active since October 17, 2014

Contact Information

2395 JOHN KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 333-4092

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  • Organization
  • Health Maintenance Organization
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 31D2036843
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 01-31-2027

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Jersey City, New Jersey operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1033513171 assigned on October 2014. The practitioner's primary taxonomy code is 302R00000X with license number 28RI03666400 (NJ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. John Collazzi Pharm D. (District Manager)

NPI
1033513171
Provider Name
WALGREENS
Entity Type
Organization
Location Address
2395 JOHN KENNEDY BLVD JERSEY CITY, NJ 07304
Location Phone
(201) 333-4092
Mailing Address
2395 JOHN KENNEDY BLVD JERSEY CITY, NJ 07304
Mailing Phone
(201) 333-4092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2014
Last Update Date
10-17-2014
Code Navigator



Walgreens is a medicare supplier with PTAN 20389415 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).

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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
28RI03666400
License State
NJ
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

DR. JOHN COLLAZZI PHARM D.

Authorized Official Title
DISTRICT MANAGER
Authorized Official Phone
(201) 333-4092

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20389415
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
31D2036843
Facility Type
Pharmacy
Certificate Effective Date
February 01, 2025
Certificate Expiration Date
January 31, 2027
Laboratory Director
KIM HERRING
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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033513171, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 0 + 1 + 6 + 1 + 1 + 4 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1033513171.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033513171, enumerated as an "organization" on October 17, 2014.

The provider is located at 2395 JOHN KENNEDY BLVD JERSEY CITY, NJ 07304 and the phone number is (201) 333-4092.

Health Maintenance Organization with taxonomy code 302R00000X.