WALGREEN CO. - NPI 1063267961 - Pharmacy in Baltimore, MD

Q: What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1063267961. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider is doing business as Walgreens #5587.

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 April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1063267961), doing business as Walgreens #5587, is a healthcare organization registered as a pharmacy in Baltimore, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Virginia Garza, Director - Ar Central, as its authorized official.

NPPES Registry Identity

NPI1063267961

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO.

Location Address9621 BELAIR RDBaltimore, MD 21236-1105

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344

Phone(410) 529-2864

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaDirector - Ar Central · (217) 709-2364

Enumeration DateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1063267961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

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

9621 BELAIR RD, Baltimore, MD 21236

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Other Names 1

Doing Business AsWalgreens #5587

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 21D2061201

Walgreens, #5587 · Baltimore, MD

Active · expires Feb 13, 2028

CLIA Number21D2061201

Laboratory TypePharmacy

Certificate Effective DateFebruary 14, 2026

Certificate Expiration DateFebruary 13, 2028

Laboratory DirectorJohn M. Harris

Laboratory Phone(410) 529-2864

Laboratory LocationWalgreens, #55879621 Belair Road, Baltimore, MD 21236

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 8

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

NURAT OLOPOENIYAN PHARMD

Pharmacist