WALGREENS #17797
NPI 1033633094
Pharmacy in Harrison, NJ

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1033633094. It was assigned to this organization in the NPPES registry on August 1, 2017. The provider is doing business as Walgreens #17797.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2017CLIA 31D2199078 · Waiver

432 BERGEN ST, HARRISON, NJ 07029(973) 483-5336(973) 483-6541 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Feb 4, 2019, Jun 15, 2018 and 4 more (7 updates tracked since 2017).

On this page

About Walgreens #17797 NPPES

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

WALGREENS #17797 (NPI 1033633094) is a healthcare organization registered as a pharmacy in Harrison, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1033633094

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address432 BERGEN STHarrison, NJ 07029-2291

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(973) 483-5336

Fax(973) 483-6541

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 1, 2017

Last NPPES UpdateMay 16, 20227 updates tracked since enumeration

NPPES CertifiedMay 16, 2022

✔ NPI 1033633094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · 28RS00300500

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

432 BERGEN ST, Harrison, NJ 07029

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Other Names 1

Doing Business AsWalgreens #17797

Other Identifiers 2

Medicaid0611026NJ

Other3153563NJ · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 31D2199078

Walgreens # 17797 · Harrison, NJ

Active · expires Nov 4, 2026

CLIA Number31D2199078

Laboratory TypePharmacy

Certificate Effective DateNovember 5, 2024

Certificate Expiration DateNovember 4, 2026

Laboratory DirectorPeter Sous

Laboratory Phone(973) 483-5336

Laboratory LocationWalgreens # 17797432 Bergen St, Harrison, NJ 07029

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

41 services41 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

23 services23 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

15 services15 patients

Other Providers at the Same Location NPPES 9

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

WENDY HOSPEDALES-HUGGINS LPN

Licensed Practical Nurse