WALGREENS
NPI 1053923821
Pharmacist in White Bear Lake, MN

Active since August 21, 2020CLIA Certified · 2 labs
1075 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55127(651) 426-9225 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Aug 21, 2020 (2 updates tracked since 2020).

About Walgreens NPPES

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

WALGREENS (NPI 1053923821) is a healthcare organization registered as a pharmacist in White Bear Lake, Minnesota and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Wayzata, and lists Lindsay Duncan, Pharmaicst, as its authorized official.

NPPES Registry Identity

NPI1053923821
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALGREENS
Location Address1075 HIGHWAY 96 EWhite Bear Lake, MN 55127-2326
Mailing Address1075 Highway 96 EWhite Bear Lake, MN 55127-2326
Organization SubpartNo
Authorized OfficialLindsay DuncanPharmaicst · (651) 426-9225
Enumeration DateAugust 21, 2020
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
NPI 1053923821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1075 HIGHWAY 96 E, White Bear Lake, MN 55127

Secondary Practice Location 1

Location 11055 Wayzata Blvd EWayzata, MN 55391-1000 · Phone (952) 473-8831

Other Identifiers 1

Other4065036MN · Commerical Insurance

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 24D2230152

Walgreens #15679 · Wayzata, MN
Active · expires Jul 19, 2027
CLIA Number24D2230152
Laboratory TypePharmacy
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorGina L. Will
Laboratory Phone(952) 473-8831
Laboratory LocationWalgreens #156791055 Wayzata Blvd E, Wayzata, MN 55391
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2011186

Walgreens #03187 · Vadnais Heights, MN
Active · expires May 5, 2027
CLIA Number24D2011186
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorMark T. Schiffmann
Laboratory Phone(651) 426-9225
Laboratory LocationWalgreens #031871075 Highway 96 E, Vadnais Heights, MN 55127
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 10

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

Pharmacist
1075 HIGHWAY 96 E
SAINT PAUL, MN 55127
Pharmacist
1075 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55127
Pharmacist
1075 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55127
Pharmacist
1075 HIGHWAY 96 E
SAINT PAUL, MN 55127
Pharmacist
1075 HIGHWAY 96 E
SAINT PAUL, MN 55127
Pharmacist
1075 HIGHWAY 96 E
SAINT PAUL, MN 55127
Pharmacist
1075 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55127
Pharmacist
1075 HIGHWAY 96 E
SAINT PAUL, MN 55127

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 Walgreens's NPI number?

The NPI number for Walgreens is 1053923821. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is Walgreens located?

Walgreens is located at 1075 Highway 96 E, White Bear Lake, MN 55127. The listed phone number is (651) 426-9225.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Walgreens hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on August 16, 2021. 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.